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Organization
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Active
Organization
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Active
Other names
Bayshore HEalthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HAND (SENIOR FINANCE ADMINISTRATION)
(732) 481-8529
Entity
Organization
Contact information
Practice address
715 N BEERS ST, HOLMDEL, NJ 07733-1503
(732) 847-3700
Mailing address
3349 HWY 138 BLDG C, SUITE A, WALL, NJ 07719
(732) 751-3624
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0388033
—
NJ
01
—
315252
MEDICARE
NJ
Enumeration date
10/16/2017
Last updated
12/27/2021
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