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Contact Information

COASTAL SPORTS MEDICINE LLC
1594 ROUTE 9
UNIT 6
TOMS RIVER, NJ08755-3280
 Phone: 732-349-8888
 Fax: 732-349-8880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COASTAL SPORTS MEDICINE LLC

NPI Number 1467780494
LBN Legal business name COASTAL SPORTS MEDICINE LLC
Authorized official ANDREW NELSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2009
Last updated 03/10/2010 - About 16 years ago
Identifiers
NJ License # 25MA06570700
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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