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Organization
SHORE HEALTH SYSTEM, INC
Active
Organization
SHORE HEALTH SYSTEM, INC
Active
Parent organization
SHORE HEALTH SYSTEM, INC
Other names
Shore Medical Pavilion at Queenstown
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHORE HEALTH SYSTEM, INC
Authorized official
KENNETH D KOZEL (PRESIDENT & CEO)
(410) 822-1000
Entity
Organization
Contact information
Practice address
125 SHOREWAY DRIVE, SUITE 130, QUEENSTOWN, MD 21658
(410) 827-3811
(410) 827-3156
Mailing address
125 SHOREWAY DRIVE, SUITE 130, QUEENSTOWN, MD 21658
(410) 827-3811
(410) 827-3156
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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