# SHORE ORTHOPAEDIC GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** shore orthopaedic group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689743130
- **Authorized official:** MS. HOLLY ANN MORGAN (PRACTICE MANAGER)
- **Authorized official phone:** (732) 530-1515

## Contact information

- **Practice address:** 35 S GILBERT ST, TINTON FALLS, NJ 07701-4917
- **Practice address phone:** (732) 530-1515
- **Practice address fax:** (732) 345-6497
- **Mailing address:** 35 S GILBERT ST, TINTON FALLS, NJ 07701-4917
- **Mailing address phone:** (732) 530-1515
- **Mailing address fax:** (732) 345-6497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 04/30/2009
