# SHORE HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shore Health System PET Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396366845
- **Authorized official:** KENNETH KOZEL (PRESIDENT & CEO)
- **Authorized official phone:** (410) 822-1000

## Contact information

- **Practice address:** 10 MARTIN CT, EASTON, MD 21601-4095
- **Practice address phone:** (410) 820-7778
- **Mailing address:** 219 S WASHINGTON ST, EASTON, MD 21601-2913
- **Mailing address phone:** (410) 822-1000
- **Mailing address fax:** (410) 822-7834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 05/06/2020