Organization
COASTAL EAR NOSE AND THROAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J. HANSON (OFFICE MANAGER)
(732) 280-7855
Entity
Organization
Contact information
Practice address
3700 ROUTE 33, SUITE 101, NEPTUNE, NJ 07753
(732) 280-7855
(732) 280-7815
Mailing address
3700 ROUTE 33, SUITE 101, NEPTUNE, NJ 07753
(732) 280-7855
(732) 280-7815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
225100000X
Physical Therapist
40QA01137200
NJ
Other
Enumeration date
09/22/2006
Last updated
03/27/2018
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