Organization Name: | OCEAN RENAL ASSOCIATES, P.A. |
NPI Number: | 1740214204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE I IGLESIAS (SENIOR PARTNER) |
Mailing Address: | 1617 Route 88 W Suite D-1 Brick |
State: | NJ US |
Postal Code: | 087243010 |
Phone Number: | 7324585067 |
Fax Number: | 7324584962 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |