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Electronic Submission Consent

I acknowledge that the information I am submitting may include protected health information ("PHI") as defined under the Health Insurance Portability and Accountability Act ("HIPAA"). I understand that this information will be transmitted electronically to the healthcare practice I have selected. By checking this box, I consent to the electronic submission and transmission of my information for the purpose of requesting an appointment or related services. Further, you represent that you have the authority to make this acknowledgement, either as the individual for whom this form is intended or as the personal representative of such user. I understand that while this form uses encryption to protect my information during transmission, no electronic communication can be guaranteed to be fully secure. For more information about Coastal Ear, Nose and Throat's privacy policy, please see our privacy policy.
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Address

Neptune Office
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3700 New Jersey 33 Suite 101

Neptune Township, NJ 07753

Phone

phone
732-280-7855

Fax

icon-fax
732-280-7815
Holmdel Office
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100 Commons Way Suite 210

Holmdel, NJ 07733

Phone

phone
732-280-7855

Fax

icon-fax
732-280-7815
Manahawkin Office
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1301 New Jersey 72 Suite 340

Manahawkin, NJ 08050

Phone

phone
732-280-7855

Fax

icon-fax
732-280-7815
Coastal Surgery Center
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3700 New Jersey 33 Suite 101

Neptune Township, NJ 07753

Phone

phone
732-305-5066

Fax

icon-fax
732-361-2056

Hours

Mon:

8:00 AM

 - 

7:00 PM

Tue:

8:00 AM

 - 

5:00 PM

Wed:

8:00 AM

 - 

5:00 PM

Thu:

8:00 AM

 - 

7:00 PM

Fri:

8:00 AM

 - 

4:30 PM

Sat:

8:00 AM

 - 

12:30 PM

Mon:

8:00 AM

 - 

7:00 PM

Tue:

8:00 AM

 - 

5:00 PM

Wed:

8:00 AM

 - 

5:00 PM

Thu:

8:00 AM

 - 

7:00 PM

Fri:

8:00 AM

 - 

4:30 PM

Mon:

8:00 AM

 - 

7:00 PM

Tue:

8:00 AM

 - 

5:00 PM

Wed:

8:00 AM

 - 

5:00 PM

Thu:

8:00 AM

 - 

5:00 PM

Fri:

8:00 AM

 - 

4:30 PM

Mon:

8:00 AM

 - 

7:00 PM

Tue:

8:00 AM

 - 

5:00 PM

Wed:

8:00 AM

 - 

5:00 PM

Thu:

8:00 AM

 - 

7:00 PM

Fri:

8:00 AM

 - 

4:30 PM

Sat:

8:00 AM

 - 

12:30 PM

Coastal Ear, Nose and Throat Reviews

Coastal Ear, Nose and Throat Reviews

Fast check in, no wait time and treated by a skilled caring dotor.

L.C. Google

Dr. Bones is very knowledgeable and takes her time explaining your questions.

C. Google

Sara Bressler was very professional and provided clear explanations to any questions.

J.D. Google

From the check-in to seeing dr mcafee to checking out. The visit was flawless.

A. Google

Exceptional services and very caring staff

G.C. Google

2842

Total Reviews

4.9

Average Rating

star-full star-full star-full star-full star-half
All Reviews