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Organization

SPOTLIGHT SUPPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL COCCHIARELLA (OWNER)
(848) 298-9552
Entity
Organization

Contact information

Practice address
711 MARYS DR, BRICK, NJ 08723
(848) 298-9552
Mailing address
711 MARYS DR, BRICK, NJ 08723
(848) 298-9552

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
06/04/2025
Last updated
06/04/2025
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