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Organization
SHORE HEALTH GROUP, PC
Active
Organization
SHORE HEALTH GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAGAN D BERI MD (PRESIDENT)
(732) 458-1211
Entity
Organization
Contact information
Practice address
3200 SUNSET AVE, SUITE 208, OCEAN, NJ 07712-4567
(732) 775-9000
Mailing address
1659 ROUTE 88, SUITE 2B, BRICK, NJ 08724-3011
(732) 458-1211
(732) 836-3141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
25MD00217500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6507701
—
NJ
Enumeration date
02/05/2007
Last updated
02/04/2020
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