Organization
OCEAN UROLOGY GROUP PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER EMMETT LEWIS III M.D. (DOCTOR)
(732) 349-5200
Entity
Organization
Contact information
Practice address
780 RTE 37 W, SUITE 100, TOMS RIVER, NJ 08755-5059
(732) 349-5200
(732) 349-5235
Mailing address
780 ROUTE 37 WEST, SUITE 100, TOMS RIVER, NJ 08755-6434
(732) 349-5200
(732) 349-5235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0721400010
RAILROAD MEDICARE
GA
05
—
2643006
—
NJ
Enumeration date
09/20/2007
Last updated
06/23/2011
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