# SHORE ENDOCRINOLOGY ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1407169519
- **Authorized official:** DR. SVETLANA FOMIN MD (DIRECTOR)
- **Authorized official phone:** (732) 685-1566

## Contact information

- **Practice address:** 193 US HIGHWAY 9 STE 1D, MANALAPAN, NJ 07726-3016
- **Practice address phone:** (732) 903-4005
- **Practice address fax:** (616) 226-4685
- **Mailing address:** 113 AUSTIN ST, TINTON FALLS, NJ 07712-7760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2010
- **Last updated:** 06/10/2025