Organization
CENTRAL JERSEY OTOLARYNGOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A TAVILL (PARTNER)
(732) 389-2438
Entity
Organization
Contact information
Practice address
1131 BROAD ST, SUITE 103, SHREWSBURY, NJ 07702-4329
(732) 389-3388
(732) 389-3389
Mailing address
1131 BROAD ST, SUITE 103, SHREWSBURY, NJ 07702-4329
(732) 389-3388
(732) 389-3389
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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