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1407212905
COASTAL BACK AND PAIN INSTITUTE
BRICK, NJ
NPI
1407212905
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Entity Type
Organization
Authorized Contact
DOUGLAS MANGANELLI
Owner
732-747-7077
Organization Subpart ?
No
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
Enumeration Date
2016-01-13
Last Update Date
2016-01-13
Business Address
COASTAL BACK AND PAIN INSTITUTE
459 JACK MARTIN BLVD
BRICK, NJ 08724-7724
Phone number: 732-747-7077
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Mailing Address
COASTAL BACK AND PAIN INSTITUTE
PO BOX 297
MANASQUAN, NJ 08736-0297
Phone number:
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