National Provider Identifier Database

JERSEY COAST VEIN AND LASER CENTER LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

JERSEY COAST VEIN AND LASER CENTER LLC
1608 ROUTE 88 WEST
SUITE 207
BRICK, NJ08724
Phone: 732-202-1500
Fax: 732-202-1058
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for JERSEY COAST VEIN AND LASER CENTER LLC

NPI Number 1861428336
Legal business name
LBN
JERSEY COAST VEIN AND LASER CENTER LLC
Authorized official COLLEEN COSGROVE - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: MA49373

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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