Provider Demographics
NPI:1982803177
Name:EAST COAST WOMAN'S HEALTH & PELVIC SURGERY LLC
Entity Type:Organization
Organization Name:EAST COAST WOMAN'S HEALTH & PELVIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-661-4071
Mailing Address - Street 1:1 ANISE CT
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-5610
Mailing Address - Country:US
Mailing Address - Phone:609-661-4071
Mailing Address - Fax:609-978-8570
Practice Address - Street 1:890 W BAY AVE
Practice Address - Street 2:SUITE F
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-2150
Practice Address - Country:US
Practice Address - Phone:609-698-8880
Practice Address - Fax:609-698-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07112600207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty