Organization
SHORE NEPHROLOGY PA.
Active
Other names
Huq ,Cruz and Strauss MD.PA
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAK RAHMAN CPC CPC-H (BILLING CODING MANAGER)
(732) 455-5398
Entity
Organization
Contact information
Practice address
2100 CORLIES AVE, SUITE 15, NEPTUNE, NJ 07753-6102
(732) 988-8228
(732) 451-0059
Mailing address
2100 CORLIES AVE, SUITE 15, NEPTUNE, NJ 07753-6102
(732) 988-8228
(732) 451-0059
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115117000
AMERIHEALTH
NJ
05
—
2949806
—
NJ
01
—
CF5059
UNITEDHEALTHCARE
NJ
Enumeration date
08/30/2006
Last updated
04/25/2013
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