Organization
COASTAL INFECTIOUS DISEASES AND CRITICAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP JOSEPH PRINCIPE M.D. (PRESIDENT)
(732) 341-4391
Entity
Organization
Contact information
Practice address
166 EDGEWOOD DR, TOMS RIVER, NJ 08755-7353
(732) 341-4391
Mailing address
166 EDGEWOOD DR, TOMS RIVER, NJ 08755-7353
(732) 341-4391
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA05817700
NJ
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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