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Organization
SHORE MEDICAL ASSOCIATES PA
Active
Organization
SHORE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD H CONDIT (BUSINESS MANAGER)
(732) 349-0011
Entity
Organization
Contact information
Practice address
601 RT 37 W, STE 101, TOMS RIVER, NJ 08755
(732) 240-4545
(732) 505-3257
Mailing address
PO BOX 289, TOMS RIVER, NJ 08754-0289
(732) 240-4545
(732) 505-3257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C19107
RR MCR
NJ
Enumeration date
04/03/2006
Last updated
11/05/2007
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