Organization
COASTAL ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A HERNBERG D.O. (PRESIDENT)
(609) 597-6011
Entity
Organization
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 597-6011
Mailing address
PO BOX 34672, NEWARK, NJ 07189-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018457
—
NJ
Enumeration date
06/13/2005
Last updated
08/22/2020
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