Organization
JERSEY COAST VEIN AND LASER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN COSGROVE (OFFICE MANAGER)
(732) 202-1500
Entity
Organization
Contact information
Practice address
1608 ROUTE 88 WEST, SUITE 207, BRICK, NJ 08724
(732) 202-1500
(732) 202-1058
Mailing address
1608 ROUTE 88 WEST, SUITE 207, BRICK, NJ 08724
(732) 202-1500
(732) 202-1058
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA49373
NJ
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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