| Shore Medical Associates Pa | |
|
601 Rt 37 W Ste 101 Toms River NJ 08755 | |
| (732) 240-4545 | |
| (732) 505-3257 |
| Full Name | Shore Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Rt 37 W, Toms River, New Jersey |
| Authorized Official Name and Position | Lloyd H Condit (BUSINESS MANAGER) |
| Authorized Official Contact | 7323490011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Medical Associates Pa Po Box 289 Toms River NJ 08754-0289 Ph: (732) 240-4545 | Shore Medical Associates Pa 601 Rt 37 W Ste 101 Toms River NJ 08755 Ph: (732) 240-4545 |
| NPI Number | 1962464404 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 11/05/2007 |
| Medicare PECOS PAC ID | 7113912049 |
|---|---|
| Medicare Enrollment ID | O20040419001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962464404 | NPI | - | NPPES |
| C19107 | Other | NJ | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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