Water Street Physicians

NPI 1063730281 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1063730281
Enumeration Date 05/12/2010
Last Updated 10/23/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KENNY KENNY
Position SR DIRECTOR OPERATIONS
Phone (732) 349-4030
Fax
Practice Location
300 W WATER ST
TOMS RIVER NJ, 08753-6692, US
Phone (732) 349-4030
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State New Jersey
License Number 25MB02891000
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According to our database, Water Street Physicians NPI is 1063730281, taxonomy code is 332900000X and license number is 25MB02891000, license state is located at New Jersey. Water Street Physicians physically located at 300 W Water St, Toms River NJ, 08753-6692. NPI Number 1033115704 has the healthcare provider type.

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1063730281 NPI number is provided on an as is basis without warranty of any kind. 1063730281 is maintained by the National Plan & Provider Enumeration System. The contents of Water Street Physicians are for informational purposes only.