Organization
ATLANTIC SHORE SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA J HAGAMAN (MANAGER)
(732) 701-4848
Entity
Organization
Contact information
Practice address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
(732) 701-1244
Mailing address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
(732) 701-1244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8727503
—
NJ
Enumeration date
11/06/2006
Last updated
08/22/2014
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