Organization
COASTAL REHABILITATION MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH V STILLO M.D. (PRESIDENT)
(732) 505-5123
Entity
Organization
Contact information
Practice address
14 HOSPITAL DR, TOMS RIVER, NJ 08755-6402
(732) 505-5123
(732) 818-4839
Mailing address
14 HOSPITAL DR, TOMS RIVER, NJ 08755-6402
(732) 505-5123
(732) 818-4839
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MA05919900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5524407
—
NJ
Enumeration date
06/23/2006
Last updated
06/23/2010
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