# BAYSHORE MEDICAL ASSOCIATES, INC

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

## Provider details

- **NPI number:** 1447483946
- **Authorized official:** DR. ROBERT BRIAN KELLY D.O. (PRESIDENT / MEDICAL DOCTOR)
- **Authorized official phone:** (732) 804-8590

## Contact information

- **Practice address:** 508 LAKEHURST RD STE 3B, TOMS RIVER, NJ 08755-8000
- **Practice address phone:** (609) 242-2705
- **Practice address fax:** (609) 312-7195
- **Mailing address:** PO BOX 659, LANOKA HARBOR, NJ 08734-0659
- **Mailing address phone:** (609) 242-2705
- **Mailing address fax:** (609) 312-7195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MBO63894 | NJ | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/31/2009