| Coastal Comprehensive Healthcare, Llc | |
|
1930 Hwy 35 Ste 10 Wall Township NJ 07719-3538 | |
| (732) 974-7007 | |
| Not Available |
| Full Name | Coastal Comprehensive Healthcare, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1930 Hwy 35 Ste 10, Wall Township, New Jersey |
| Authorized Official Name and Position | Michael J Findura (MANAGING MEMBER) |
| Authorized Official Contact | 7329747007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Comprehensive Healthcare, Llc 1930 Hwy 35 Ste 10 Wall Township NJ 07719-3538 Ph: (732) 974-7007 | Coastal Comprehensive Healthcare, Llc 1930 Hwy 35 Ste 10 Wall Township NJ 07719-3538 Ph: (732) 974-7007 |
| NPI Number | 1952562936 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 11/07/2008 |
| Medicare PECOS PAC ID | 4183783251 |
|---|---|
| Medicare Enrollment ID | O20081104000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952562936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB07566800 (New Jersey) | Primary |
| Provider Name | Michael J Findura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922072420 PECOS PAC ID: 4385627116 Enrollment ID: I20040611000329 |
| Provider Name | Susan L Ezzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730547480 PECOS PAC ID: 3971883471 Enrollment ID: I20161129000456 |
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