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NPI 1326013111

NPI 1326013111 : OCEAN RADIOLOGY ASSOCIATES, LLP : LAKEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1326013111
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    Entity Type          |    Organization 
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    Legal Business Name  |    OCEAN RADIOLOGY ASSOCIATES, LLP 
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Dates
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    Enumeration Date     |    02/23/2006
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    Last Update Date     |    05/09/2008
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Provider Practice Location Address
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    Address Line         |    600 RIVER AVE 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-5237
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    Country              |    US
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    Telephone            |    732-363-1900
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    Fax                  |    732-942-5707
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1230 
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    City                 |    EATONTOWN
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    State                |    NJ
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    Zip                  |    07724-1081
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    Country              |    US
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    Telephone            |    732-380-0881
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    Fax                  |    732-380-9497
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Authorized Official
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    Title or Position    |    CHIEF RADIOLOGIST
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    Name                 |     ROBERT  CRANLEY 
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    Credential           |    MD
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    Telephone            |    732-363-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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