| NPI | 1730211202 |
|---|---|
| Doing Business As | COASTAL CENTER FOR ADVANCED SURGERY |
| Entity Type | Organization |
| Authorized Contact | GEORGE S CONSTANTINOPOULOS President 732-229-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-08-22 |