Eastern Thoracic Surgical Associates Llc
LBN: Eastern Thoracic Surgical Associates Llc
Eastern Thoracic Surgical Associates Llc is an health care organization with primary practice located at 65 Mechanic St Suite 102, Red Bank NJ 07701-1869. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Eastern Thoracic Surgical Associates Llc can be contacted via phone (732) 741-9980, or through Willekes, Lourens J via phone (732) 741-9980.
Contact Information
Primary practice address
65 Mechanic St Suite 102
Red Bank NJ 07701-1869
Phone: (732) 741-9980
Fax: (732) 741-9982
Website:
Authorized official contact:
Name: Willekes, Lourens J Doctor of Medicine (MD)
Phone: (732) 741-9980
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1881868263 |
|---|---|
| LBN Legal business name | Eastern Thoracic Surgical Associates Llc |
| DBA Doing business as | |
| Authorized official | Willekes, Lourens J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2008 |
| Last updated | Jul 24th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881868263 | NPPES |
| New Jersey | MEDICAID | 0077411 |
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