East Coast Medical and Wellness LLC
NPI #1114474731 in Asbury Park, New Jersey
Provider Information
- NPI Number
- 1114474731
- Entity Type
- Organization
- Organization Name
- East Coast Medical and Wellness LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 908 MAIN STREET SUITE A
- City
- Asbury Park
- State
- New Jersey
- ZIP Code
- 07712
- Phone
- (973) 718-2835
Authorized Official
- Name
- DAVID SHEPHERD
- Title
- DIRECTOR
- Phone
- (973) 718-2635
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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