Organization Name: | OCEAN HEALTH INITIATIVES |
NPI Number: | 1467762526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA BERGER (C.E.O) |
Mailing Address: | 333 Haywood Rd Manahawkin |
State: | NJ US |
Postal Code: | 080502707 |
Phone Number: | 7323636655 |
Fax Number: | 7329010277 |
NPI Enumeration Date: | 10/07/2010 |
NPI Last Update Date: | 10/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |