Organization
OCEAN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
501 LAKEHURST RD, TOMS RIVER, NJ 08755-8050
(732) 341-7299
Mailing address
601 ROUTE 37 W, TOMS RIVER, NJ 08755-8050
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490004400
RAILROAD MEDICARE
NJ
Enumeration date
10/04/2006
Last updated
08/11/2017
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