Organization
MONMOUTH-OCEAN NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN COLICCHIO M.D. (PHYSICIAN)
(732) 774-8282
Entity
Organization
Contact information
Practice address
1944 CORLIES AVE, STE 206, NEPTUNE, NJ 07753-4862
(732) 774-8282
(732) 774-6816
Mailing address
1944 CORLIES AVE, STE 206, NEPTUNE, NJ 07753-4862
(732) 774-8282
(732) 774-6816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6472605
—
NJ
Enumeration date
11/16/2005
Last updated
04/20/2016
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