| Shore Family Practice Llc | |
|
338 Mantoloking Rd Brick NJ 08723-5719 | |
| (732) 920-8082 | |
| (732) 920-8083 |
| Full Name | Shore Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 338 Mantoloking Rd, Brick, New Jersey |
| Authorized Official Name and Position | Christine C Castillo (PRESIDENT) |
| Authorized Official Contact | 7329208082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Family Practice Llc 338 Mantoloking Rd Brick NJ 08723-5719 Ph: (732) 920-8082 | Shore Family Practice Llc 338 Mantoloking Rd Brick NJ 08723-5719 Ph: (732) 920-8082 |
| NPI Number | 1871646737 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871646737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB072166 (New Jersey) | Primary |
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