National Provider Identifier Database

COASTAL MEDICAL CARE LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

COASTAL MEDICAL CARE LLC
293 US STATE ROUTE 9
MARMORA, NJ08223
Phone: 609-265-1500
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for COASTAL MEDICAL CARE LLC

NPI Number 1508602897
Legal business name
LBN
COASTAL MEDICAL CARE LLC
Authorized official JOLENE GANIEL - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 07/05/2024
Last updated 07/05/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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