Organization
CENTRAL OCEAN COUNTY DIAGNOSTIC IMAGING CENTER, LLC
Active
Other names
Central Ocean Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK M O'CONNOR COO (COO)
(609) 971-1606
Entity
Organization
Contact information
Practice address
5 LACEY RD, FORKED RIVER, NJ 08731-4238
(609) 971-1606
(609) 971-1632
Mailing address
5 LACEY RD, FORKED RIVER, NJ 08731
(609) 971-1606
(609) 971-1632
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23357
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053295
—
NJ
Enumeration date
06/01/2006
Last updated
08/22/2020
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