NPI 1114069218
Coastal Medical, INC.
Practice location
- Address
- 850 Aquidneck Ave, Middletown, RI 02842-7244
- Phone
- (401) 846-0055
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- Kenny Heine
- Title
- Dir. of Operations
- Phone
- (858) 625-2990
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1114069218
- Entity type
- Organization
- NPI issued
- 13 Feb 2007
- Record last updated
- 17 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.