| Ocean Adult Medical Group, L.l.c. | |
|
64 Grand Central Ave Lavallette NJ 08735-2010 | |
| (732) 793-7125 | |
| (732) 830-3421 |
| Full Name | Ocean Adult Medical Group, L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 64 Grand Central Ave, Lavallette, New Jersey |
| Authorized Official Name and Position | Catherine A. Forrester (PHYSICIAN DIRECTOR) |
| Authorized Official Contact | 7327933236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Adult Medical Group, L.l.c. 64 Grand Central Ave Lavallette NJ 08735-2010 Ph: (732) 793-7125 | Ocean Adult Medical Group, L.l.c. 64 Grand Central Ave Lavallette NJ 08735-2010 Ph: (732) 793-7125 |
| NPI Number | 1437100096 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437100096 | NPI | - | NPPES |
| 8059004 | Medicaid | NJ | |
| 2949154 | Other | NJ | AETNA |
| VP088C | Other | NJ | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |