Organization
OCEAN NEUROSURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A YAZDAN SR. MD (NEUROSURGEON)
(732) 458-6556
Entity
Organization
Contact information
Practice address
1530 HIGHWAY 88 W, BRICK, NJ 08724
(732) 458-6556
(732) 458-3267
Mailing address
1530 HIGHWAY 88 W, BRICK, NJ 08724
(732) 458-6556
(732) 458-3267
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MA22770
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853906
—
NJ
Enumeration date
12/04/2006
Last updated
08/22/2020
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