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NPI Code Detail

MEDICARE: OCEAN RADIOLOGY ASSOCIATES, LLP

MEDICARE: OCEAN RADIOLOGY ASSOCIATES, LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326013111
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN RADIOLOGY ASSOCIATES, LLP
Provider Business Mailing Address
First Line : PO BOX 1230
Second Line :
City : EATONTOWN
State : NJ
Zip : 07724-1081
Country : US
Telephone Number : 732-380-0881
Fax Number : 732-380-9497
Provider Business Practice Location Address
First Line : 600 RIVER AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5237
Country : US
Telephone Number : 732-363-1900
Fax Number : 732-942-5707
Authorized Official
Title or Position : CHIEF RADIOLOGIST
Name : ROBERT CRANLEY
Credential : MD
Telephone Number : 732-363-1900
Provider Enumeration Date : 02/23/2006
Last Update Date : 05/09/2008

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