Organization
BAYSHORE REHAB MEDICINE, PC
Active
Organization
BAYSHORE REHAB MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIDONG SUN M.D. (DIRECTOR)
(732) 888-3300
Entity
Organization
Contact information
Practice address
721 N BEERS ST, SUITE 1B, HOLMDEL, NJ 07733-1518
(732) 888-3300
(732) 888-3116
Mailing address
721 N BEERS ST, SUITE 1B, HOLMDEL, NJ 07733-1518
(732) 888-3300
(732) 888-3116
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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