Organization · Type 2 NPI

Coastal Endo, LLC

Ambulatory Surgical Clinic/Center · Barnegat, NJ

NPI number 1063996734 Active

Practice location

175 Gunning River Rd Unit 4
Barnegat, NJ 08005-1436

Fax (609) 698-0777

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

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NPI record

NPI: 1063996734
Entity type: Organization (Type 2)
Issued: Sep 19, 2018
Last updated: Oct 4, 2024
Status: Active

Other names

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Coastal Endoscopy Center · doing business as
Coastal Endoscopy Center · doing business as

Authorized official

Jonathan Bailey
Officer/authorized Oficial
(203) 609-1168

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About NPI 1063996734

Coastal Endo, LLC's National Provider Identifier is 1063996734, issued on Sep 19, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Barnegat, NJ. The record was last updated on Oct 4, 2024.