Organization
OCEAN RENAL ASSOCIATES, P.A.
Active
Other names
Ocean Renal Associates, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE I IGLESIAS D.O. (SENIOR PARTNER)
(732) 458-5067
Entity
Organization
Contact information
Practice address
1617 ROUTE 88 W, SUITE D-1, BRICK, NJ 08724-3010
(732) 458-5067
(732) 458-4962
Mailing address
210 JACK MARTIN BLVD, BRICK, NJ 08724-7771
(732) 458-5067
(732) 458-4962
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA9701
RAILROAD MEDICARE NUMBER
—
Enumeration date
07/10/2006
Last updated
04/18/2016
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