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COASTAL ENDO LLC NPI 1063996734


NPI Information

NPI: 1063996734
Provider Name: COASTAL ENDO, LLC

Doing Business As: COASTAL ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
175 GUNNING RIVER RD UNIT 4
BARNEGAT, NJ
ZIP 08005
Phone: (609) 698-0700
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COASTAL ENDO, LLC is an ambulatory surgical clinic center in Barnegat, NJ. COASTAL ENDO, LLC NPI is 1063996734. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Endoscopy Center.

The provider's business location address is:

175 GUNNING RIVER RD UNIT 4
BARNEGAT, NJ
ZIP 08005-436
Phone: (609) 698-0700
Fax: (609) 698-0777

The provider's authorized official is Teresa Danna .
The authorized official title is Officer/authorized Oficial and has the following contact phone number (972) 763-3890.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 7/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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