| Limited Liability Corporation | |
|
300 W Water St Toms River NJ 08753-6533 | |
| (732) 349-4030 | |
| (732) 244-1866 |
| Full Name | Limited Liability Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 300 W Water St, Toms River, New Jersey |
| Authorized Official Name and Position | John A Pino (PHYSICIAN OWNER) |
| Authorized Official Contact | 7323494030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Limited Liability Corporation 300 W Water St Toms River NJ 08753-6533 Ph: (732) 349-4030 | Limited Liability Corporation 300 W Water St Toms River NJ 08753-6533 Ph: (732) 349-4030 |
| NPI Number | 1659306769 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 06/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659306769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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