Organization
SUITE402ASSOCIATES, LLC
Active
Other names
Peninsula Vein and Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST MICHAEL GINALIS M.D. (PRESIDENT)
(732) 229-8486
Entity
Organization
Contact information
Practice address
279 3RD AVE, SUITE 402, LONG BRANCH, NJ 07740-6211
(732) 229-8486
(732) 229-1576
Mailing address
279 3RD AVE, SUITE 402, LONG BRANCH, NJ 07740-6211
(732) 229-8486
(732) 229-1576
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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