Healthcare Provider Details

I. General information

NPI: 1609524321
Provider Name (Legal Business Name): OXFORD CLINICAL SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2022
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1547B FINNEGAN LN
NORTH BRUNSWICK NJ
08902-1061
US

IV. Provider business mailing address

1547B FINNEGAN LN
NORTH BRUNSWICK NJ
08902-1061
US

V. Phone/Fax

Practice location:
  • Phone: 561-398-8729
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SEAN MATTOS
Title or Position: CEO
Credential:
Phone: 561-398-8729