31D0117320 CLIA NUMBER - OCEAN MEDICAL MD PA

Laboratory Demographics

CLIA Number: 31D0117320

Facility Name: OCEAN MEDICAL MD PA

Facility Address:
3003 NORTH BAY AVENUE
LONG BEACH TOWNSHIP, NJ
ZIP 08008
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Facility Phone Number: 609 492-0900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508902040

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D0117320
LAB Type	Physician Office
Facility Name	OCEAN MEDICAL MD PA
Street	3003 NORTH BAY AVENUE
City	LONG BEACH TOWNSHIP
State	NJ
ZIP	08008
Phone	609 492-0900
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024