Organization · Type 2 NPI
Island Medical PA
Non-Pharmacy Dispensing Site · Ship Bottom, NJ
NPI number
1639587801
Active
Practice location
1812 Long Beach Blvd
Ship Bottom, NJ 08008-4443
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 25MA05374000 (NJ) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
5 other providers at this address
- Island Medical Professional AssociationFamily Medicine Physician Ship Bottom, NJ NPI 1265549539
- Christina Levine, FNPFamily Nurse Practitioner Ship Bottom, NJ NPI 1033761176
- Harry L. Larkin, MDFamily Medicine Physician Ship Bottom, NJ NPI 1821105198
- James Noland Suddeth, MDFamily Medicine Physician Ship Bottom, NJ NPI 1992812275
- Paul William Prosperi, DOFamily Medicine Physician Ship Bottom, NJ NPI 1952416588
About NPI 1639587801
Island Medical PA's National Provider Identifier is 1639587801, issued on Jul 31, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Ship Bottom, NJ. The record was last updated on Jul 31, 2014.