COASTAL UROLOGY ASSOCIATES PA; NPI #1073795894

Contact Information

COASTAL UROLOGY ASSOCIATES PA

900 ROUTE 70 EAST
LAKEWOOD TOWNSHIP, NJ 08701-5940

Phone: 732-840-4300
Fax: 732-840-4515
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for COASTAL UROLOGY ASSOCIATES PA

NPI # 1073795894

LBN Legal business name COASTAL UROLOGY ASSOCIATES PA

Authorized official IRIS BRENNAN - (PRACTICE MANAGER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 12/04/2007

Last updated 12/04/2007 - About 19 years ago

Identifiers

License #

25MA3227400

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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