# BAYSHORE WOUND CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013018365
- **Authorized official:** MS. ROSE WEISSMAN FNP (NP)
- **Authorized official phone:** (732) 977-4211

## Contact information

- **Practice address:** 1 BETHANY RD, BUILDING 3, SUITE 41, HAZLET, NJ 07730-1663
- **Practice address phone:** (732) 203-9780
- **Practice address fax:** (732) 203-9781
- **Mailing address:** 24 N LAKE DR, MIDDLETOWN, NJ 07748-2347
- **Mailing address phone:** (732) 977-4211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 26NJ00040900 | NJ | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 08/22/2020