Provider Demographics
NPI:1952562936
Name:COASTAL COMPREHENSIVE HEALTHCARE, LLC
Entity Type:Organization
Organization Name:COASTAL COMPREHENSIVE HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINDURA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-974-7007
Mailing Address - Street 1:1930 HWY 35 STE 10
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3538
Mailing Address - Country:US
Mailing Address - Phone:732-974-7007
Mailing Address - Fax:
Practice Address - Street 1:1930 HWY 35 STE 10
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3538
Practice Address - Country:US
Practice Address - Phone:732-974-7007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB07566800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty