| Ocean Endocrine Specialists Llc | |
|
1255 Route 70 Ste 20n Lakewood NJ 08701-6192 | |
| (732) 908-2200 | |
| Not Available |
| Full Name | Ocean Endocrine Specialists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1255 Route 70 Ste 20n, Lakewood, New Jersey |
| Authorized Official Name and Position | Ronald Villanueva (OWNER) |
| Authorized Official Contact | 7329082200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Endocrine Specialists Llc 1255 Route 70 Ste 20n Lakewood NJ 08701-6192 Ph: () - | Ocean Endocrine Specialists Llc 1255 Route 70 Ste 20n Lakewood NJ 08701-6192 Ph: (732) 908-2200 |
| NPI Number | 1225716863 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 0840653564 |
|---|---|
| Medicare Enrollment ID | O20230829002036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225716863 | NPI | - | NPPES |
| 1508838434 | Other | HORIZON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ronald Banaag Villanueva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508838434 PECOS PAC ID: 7911961297 Enrollment ID: I20041116000937 |
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