Organization
COASTAL SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAINEY LALLY RNFA (PRESIDENT)
(732) 233-7415
Entity
Organization
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 233-7415
Mailing address
15 DRUM CT, HOWELL, NJ 07731-1655
(732) 233-7415
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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