Organization
OCEAN PLASTIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EDWARD SMALL DO (PRESIDENT)
(732) 255-7155
Entity
Organization
Contact information
Practice address
413 LAKEHURST RD STE 301, TOMS RIVER, NJ 08755-7382
(732) 255-7155
(732) 255-7455
Mailing address
413 LAKEHURST RD STE 301, TOMS RIVER, NJ 08755-7382
(732) 255-7155
(732) 255-7455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB07162600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116220
—
NJ
01
—
2764533000
AMERIHEALTH
NJ
01
—
3K4764
HEALTH NET
NJ
01
—
P3735894
OXFORD
NJ
Enumeration date
09/19/2006
Last updated
07/19/2019
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