# SHORE ORTHOPAEDIC GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shore Open Mri
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649312968
- **Authorized official:** MRS. HOLLY ANN MORGAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (732) 530-1515

## Contact information

- **Practice address:** 1255 HIGHWAY 70, SUITE 11S, LAKEWOOD, NJ 08701-5900
- **Practice address phone:** (732) 942-3005
- **Practice address fax:** (732) 942-8069
- **Mailing address:** 1255 HIGHWAY 70, SUITE 11S, LAKEWOOD, NJ 08701-5900
- **Mailing address phone:** (732) 942-3005
- **Mailing address fax:** (732) 942-8069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 22302 | NJ | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 02/21/2008