Organization
COASTAL INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VITALI MD (CEO)
(732) 245-5955
Entity
Organization
Contact information
Practice address
500 CANDLEWOOD CMNS, HOWELL, NJ 07731-2172
(848) 285-4671
(848) 285-4673
Mailing address
500 CANDLEWOOD CMNS, HOWELL, NJ 07731-2172
(848) 285-4671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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