Island Medical Pa is a health care provider in San Diego, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1812 Long Beach Blvd, Ship Bottom, NJ 08008-4443, US|
|Practice Location Phone||609-494-2323|
|Practice Location Fax|
|Legal Business Name||ISLAND MEDICAL PA|
|Enumeration Date ?||Jul 31, 2014|
|Last Update Date ?||Jul 31, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Non-Pharmacy Dispensing Site||Suppliers||25MA05374000||New Jersey|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Island Medical Pa's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Kenny Heine|
|Authorized Official Title/Position||VP OF OPERATIONS|
|Authorized Official Phone Number||858-964-1506|