# BAYSHORE MEDICAL GROUP PC

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

## Provider details

- **NPI number:** 1548213440
- **Authorized official:** DR. L SCOTT LARSEN M.D. (PRESIDENT)
- **Authorized official phone:** (732) 888-7353

## Contact information

- **Practice address:** 146 RTE 9, MARLBORO PLAZA, ENGLISHTOWN, NJ 07726-8249
- **Practice address phone:** (732) 972-0660
- **Mailing address:** 156 RTE 9, MARLBORO PLAZA, ENGLISHTOWN, NJ 07726-8231
- **Mailing address phone:** (732) 972-0660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 10/17/2007