Coastal Neurosciences Pc | |
110 Harbor Lane Somers Point NJ 08244-2470 | |
(609) 653-9110 | |
(609) 653-4105 |
Full Name | Coastal Neurosciences Pc |
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Speciality | Neurological Surgery |
Location | 110 Harbor Lane, Somers Point, New Jersey |
Authorized Official Name and Position | Andrew S Glass (PRESIDENT) |
Authorized Official Contact | 6096539110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coastal Neurosciences Pc 110 Harbor Lane Somers Point NJ 08244-2470 Ph: (609) 653-9110 | Coastal Neurosciences Pc 110 Harbor Lane Somers Point NJ 08244-2470 Ph: (609) 653-9110 |
NPI Number | 1164578928 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 07/11/2016 |
Medicare PECOS PAC ID | 8628259470 |
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Medicare Enrollment ID | O20110226000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164578928 | NPI | - | NPPES |
7771908 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
207T00000X | Neurological Surgery | (* (Not Available)) | Primary |
Provider Name | Andrew S Glass |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1679622500 PECOS PAC ID: 9335177955 Enrollment ID: I20050803000723 |
Provider Name | Robert A Sabo |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1780733618 PECOS PAC ID: 7012946098 Enrollment ID: I20050810000339 |
Provider Name | Kevin E Hunter |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1831248780 PECOS PAC ID: 6103007844 Enrollment ID: I20110301000015 |
Provider Name | Maureen Gottfried |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1972652832 PECOS PAC ID: 0446431290 Enrollment ID: I20110301000068 |
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