Organization
COASTAL MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLENE RENEE GANIEL NP-C (PARTNER)
(609) 703-9596
Entity
Organization
Contact information
Practice address
293 US STATE ROUTE 9, MARMORA, NJ 08223
(609) 265-1500
Mailing address
293 US STATE ROUTE 9, MARMORA, NJ 08223
(609) 265-1500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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