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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI Number 1861428336
LBN Legal business name JERSEY COAST VEIN AND LASER CENTER LLC
Authorized official COLLEEN COSGROVE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # MA49373
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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