Sea Girt Medical Associates PC

NPI #1962713123 in Manasquan, New Jersey

Provider Information

NPI Number
1962713123
Entity Type
Organization
Organization Name
Sea Girt Medical Associates PC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jun 23, 2010
Last Updated
Oct 23, 2012

Practice Location

Address
235 ROUTE 71
ZIP Code
08736-2806
Phone
(732) 223-4300

Authorized Official

Name
KENNY HEINE
Title
SR DIRECTOR OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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