Healthcare Provider Details

I. General information

NPI: 1316122096
Provider Name (Legal Business Name): KROSNEY, BERG, TALANSKY & TURTEL, MDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 03/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 FAIRMONT AVE
OCEAN NJ
07712
US

IV. Provider business mailing address

3333 FAIRMONT AVE
OCEAN NJ
07712
US

V. Phone/Fax

Practice location:
  • Phone: 732-988-4000
  • Fax: 732-988-9502
Mailing address:
  • Phone: 732-988-4000
  • Fax: 732-988-9502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: KERRI A. HERRING
Title or Position: CREDENTIALING
Credential:
Phone: 732-988-4949