# JERSEY SHORE MEDICAL AND PEDIATRICS ASSOCIATES,LLC

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

## Provider details

- **NPI number:** 1073642401
- **Authorized official:** DR. RANDY PABLO TALAMAYAN MD (PRESIDENT)
- **Authorized official phone:** (732) 942-0888

## Contact information

- **Practice address:** 1215 HIGHWAY 70, SUITE 1005, LAKEWOOD, NJ 08701-5947
- **Practice address phone:** (732) 942-0888
- **Practice address fax:** (732) 942-1230
- **Mailing address:** 1215 HIGHWAY 70, SUITE 1005, LAKEWOOD, NJ 08701-5947
- **Mailing address phone:** (732) 942-0888
- **Mailing address fax:** (732) 942-1230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | MA070826 | NJ | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 02/18/2010