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Organization

OCEAN HEALTH INITIATIVES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA BERGER (CEO)
(732) 363-6655
Entity
Organization

Contact information

Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 363-6656
Mailing address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
(732) 363-6656

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23027
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0026590
NJ
01
311842
UGS
NJ
Enumeration date
05/23/2005
Last updated
08/22/2020
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