Organization
JERSEY COAST VASCULAR ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEEN COSGROVE (OFFICE MANAGER)
(732) 202-1500
Entity
Organization
Contact information
Practice address
425 JACK MARTIN BLVD, 2ND FLOOR, BRICK, NJ 08724-7732
(732) 202-1058
(732) 202-1588
Mailing address
425 JACK MARTIN BLVD, 2ND FLOOR, BRICK, NJ 08724-7732
(732) 202-1058
(732) 202-1588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA49111
NJ
Other
Enumeration date
06/24/2006
Last updated
07/31/2013
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