| NPI | 1285357780 |
|---|---|
| Doing Business As | COASTAL UROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DANIEL TODD BURZON Partner 732-840-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |