Organization
OCEAN ADULT MEDICAL GROUP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A. FORRESTER M.D. (PHYSICIAN DIRECTOR)
(732) 793-3236
Entity
Organization
Contact information
Practice address
64 GRAND CENTRAL AVE, LAVALLETTE, NJ 08735-2010
(732) 793-7125
(732) 830-3421
Mailing address
64 GRAND CENTRAL AVE, LAVALLETTE, NJ 08735-2010
(732) 793-7125
(732) 830-3421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2949154
AETNA
NJ
05
—
8059004
—
NJ
01
—
VP088C
CIGNA
NJ
Enumeration date
05/16/2006
Last updated
08/22/2020
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