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Organization

SHORE FAMILY MEDICINE ASS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELO SPARAGNA III MD (PRESIDENT)
(609) 927-1163
Entity
Organization

Contact information

Practice address
425 BETHEL RD, SOMERS POINT, NJ 08244-2060
(609) 927-1163
Mailing address
425 BETHEL RD, SOMERS POINT, NJ 08244-2060
(609) 927-1163

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA32948
NJ

Other

Enumeration date
06/17/2006
Last updated
09/18/2008
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