Provider Demographics
NPI:1760137467
Name:OCEANSIDE HEALTH PLLC
Entity Type:Organization
Organization Name:OCEANSIDE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:774-237-9116
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-0087
Mailing Address - Country:US
Mailing Address - Phone:774-237-9116
Mailing Address - Fax:774-237-3411
Practice Address - Street 1:55 CLEARWATER DR
Practice Address - Street 2:
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-2901
Practice Address - Country:US
Practice Address - Phone:774-237-9116
Practice Address - Fax:774-237-3411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty