Organization
NJ COMMUNITY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT V GIARDINA DC (OWNER)
(732) 908-7700
Entity
Organization
Contact information
Practice address
864 ROUTE 37 W, TOMS RIVER, NJ 08755-5033
(732) 908-7700
(732) 503-4127
Mailing address
864 ROUTE 37 W, TOMS RIVER, NJ 08755-5033
(732) 908-7700
(732) 503-4127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00217100
NJ
363AM0700X
Medical Physician Assistant
25MP00244100
NJ
363LF0000X
Family Nurse Practitioner
26NN05182000
NJ
Other
Enumeration date
02/28/2014
Last updated
07/22/2014
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