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Organization

SHORE LABORATORY DIAGNOSTICS, LLC

Active
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Organization

SHORE LABORATORY DIAGNOSTICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG M JURASINSKI M.D. (CHIEF FINANCIAL OFFICER)
(609) 653-3712
Entity
Organization

Contact information

Practice address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3712
Mailing address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3712

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NJ

Other

Enumeration date
07/13/2012
Last updated
07/13/2012
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