Individual
DANIEL ANTHONY COCCHIARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 MARYS DR, BRICK, NJ 08723-4213
(848) 298-9552
Mailing address
711 MARYS DR, BRICK, NJ 08723-4213
(848) 298-9552
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/04/2025
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