Organization
TOTAL CARE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE TATE (OFFIE MANAGER)
(732) 451-1200
Entity
Organization
Contact information
Practice address
1868 HOOPER AVE, TOMS RIVER, NJ 08753-8175
(732) 451-1200
(732) 864-1229
Mailing address
1868 HOOPER AVE, TOMS RIVER, NJ 08753-8175
(732) 451-1200
(732) 864-1229
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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