# SHORE POINT OB & GYN, LLC

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

## Provider details

- **NPI number:** 1063842383
- **Authorized official:** DR. FLAVIUS M THOMPSON MD (OWNER)
- **Authorized official phone:** (732) 905-6560

## Contact information

- **Practice address:** 149 BRISTOL CT, LAKEWOOD, NJ 08701-4635
- **Practice address phone:** (732) 905-6560
- **Practice address fax:** (732) 818-9741
- **Mailing address:** 149 BRISTOL CT, LAKEWOOD, NJ 08701-4635
- **Mailing address phone:** (732) 905-6560
- **Mailing address fax:** (732) 818-9741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA04683000 | NJ | Yes |

## Other

- **Enumeration date:** 11/22/2013
- **Last updated:** 11/22/2013