# SHORE ORTHOPAEDIC GROUP

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

## Provider details

- **NPI number:** 1659821742
- **Authorized official:** DR. SCOTT WOSKA (MANAGING MEMBER)
- **Authorized official phone:** (732) 942-2020

## Contact information

- **Practice address:** 1255 ROUTE 70, SUITE 10-N, LAKEWOOD, NJ 08701-5900
- **Practice address phone:** (732) 942-2020
- **Mailing address:** 1255 ROUTE 70, SUITE 10-N, LAKEWOOD, NJ 08701-5900
- **Mailing address phone:** (732) 942-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MA07424100 | NJ | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 12/02/2016