| Coastal Obstetrics & Gynecology Associates Pa | |
|
72 W Jim Leeds Rd Suite 2500 Stockton Medical Building Pomona NJ 08240-0836 | |
| (609) 652-6600 | |
| (609) 652-1267 |
| Full Name | Coastal Obstetrics & Gynecology Associates Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 72 W Jim Leeds Rd, Pomona, New Jersey |
| Authorized Official Name and Position | Edward L Sung (PRESIDENT) |
| Authorized Official Contact | 6096526600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Obstetrics & Gynecology Associates Pa Po Box 386 Linwood NJ 08221-0386 Ph: (609) 652-6600 | Coastal Obstetrics & Gynecology Associates Pa 72 W Jim Leeds Rd Suite 2500 Stockton Medical Building Pomona NJ 08240-0836 Ph: (609) 652-6600 |
| NPI Number | 1235321340 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 01/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235321340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA029589 (New Jersey) | Primary |
Niranjan G Trivedi M D P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 West White Horse Pike, Pomona, NJ 08240 Phone: 609-652-1120 Fax: 609-652-8023 |