Organization
COASTAL SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW LLOYD NELSON M.D. (OWNER)
(347) 334-1733
Entity
Organization
Contact information
Practice address
1594 ROUTE 9, UNIT 6, TOMS RIVER, NJ 08755-3280
(732) 349-8888
(732) 349-8880
Mailing address
1594 ROUTE 9, UNIT 6, TOMS RIVER, NJ 08755-3280
(732) 349-8888
(732) 349-8880
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
25MA06570700
NJ
Other
Enumeration date
12/02/2009
Last updated
03/10/2010
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