Organization
COASTAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA COGAR (PRACTICE ADMINISTRATOR)
(302) 634-0259
Entity
Organization
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 597-6011
Mailing address
PO BOX 6750, PORTSMOUTH, NH 03802-6750
(800) 208-7069
(610) 956-0009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
09/08/2021
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