Southern Ocean County Surgical Association, LLC
NPI #1013016765 in Manahawkin, New Jersey
Provider Information
- NPI Number
- 1013016765
- Entity Type
- Organization
- Organization Name
- Southern Ocean County Surgical Association, LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 44 NAUTILUS DR
- Address 2
- SUITE 2B
- City
- Manahawkin
- State
- New Jersey
- ZIP Code
- 08050-2466
- Phone
- (609) 597-9477
Authorized Official
- Name
- SERGEY GRACHEV, M.D.
- Title
- PROPRIETOR
- Phone
- (609) 597-9477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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