31D2177448 CLIA NUMBER - REGIONAL WOMEN'S HEALTH GROUP OCEANSIDE GALLOWAY

Laboratory Demographics

CLIA Number: 31D2177448

Facility Name: REGIONAL WOMEN'S HEALTH GROUP OCEANSIDE GALLOWAY

Facility Address:
76 W JIMMIE LEEDS ROAD, SUITE 104
GALLOWAY TOWNSHIP, NJ
ZIP 08205
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Facility Phone Number: 609 927-3070

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568653566

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	31D2177448
LAB Type	Physician Office
Facility Name	REGIONAL WOMEN'S HEALTH GROUP OCEANSIDE GALLOWAY
Street	76 W JIMMIE LEEDS ROAD, SUITE 104
City	GALLOWAY TOWNSHIP
State	NJ
ZIP	08205
Phone	609 927-3070
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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