Organization
OCEANS OF HOPE MASTECTOMY BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ANN DONOHUE CFM (OWNER)
(732) 557-4673
Entity
Organization
Contact information
Practice address
440 COMMONS WAY, BUILDING D, TOMS RIVER, NJ 08755-6428
(732) 557-4673
(732) 557-4676
Mailing address
440 COMMONS WAY, BUILDING D, TOMS RIVER, NJ 08755-6428
(732) 557-4673
(732) 557-4676
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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