Organization
JERSEY SHORE UNIVERSITY MEDICAL CENTER
Active
Other names
behavioral health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SULLIVAN (CLINICAL PROGRAM SUPERVISOR)
(732) 869-2781
Entity
Organization
Contact information
Practice address
1011 BOND ST, ASBURY PARK, NJ 07712-5939
(732) 869-2761
Mailing address
1113 MINNEHAHA TRL, MANASQUAN, NJ 08736-2020
(732) 223-2210
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
44SW00942700
NJ
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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