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Organization

SOUTHERN OCEAN CO RADIATION ONCOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE R COIA MD (MEDICAL DIRECTOR)
(609) 978-2194
Entity
Organization

Contact information

Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 978-2194
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0446192000
AMERIHEALTH HMO/POS
NJ
01
1138272V
HORIZON NJ HEALTH
NJ
01
160062FE
PREFERRED CARE
NJ
01
2351436
AETNA HMO
NJ
01
424534
AMERIHEALTH PPO
NJ
05
8332703
NJ
Enumeration date
12/16/2005
Last updated
07/21/2022
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