# ATLANTIC SHORE MEDICAL, PA

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

## Provider details

- **NPI number:** 1255531224
- **Authorized official:** LOOKMAN K ODEJOBI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (732) 776-9776

## Contact information

- **Practice address:** 2100 CORLIES AVE, SUITE \# 20, NEPTUNE, NJ 07753-6102
- **Practice address phone:** (732) 776-9776
- **Practice address fax:** (732) 776-9882
- **Mailing address:** PO BOX 2212, NEPTUNE, NJ 07754-2212
- **Mailing address phone:** (732) 776-9776
- **Mailing address fax:** (732) 776-9882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA 062733 | NJ | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 06/23/2008