Organization
SHORE HEART GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE D WEISS MD (PRESIDENT)
(732) 776-8500
Entity
Organization
Contact information
Practice address
1820 STATE ROUTE 33, SUITE 4B, NEPTUNE, NJ 07753-4860
(732) 776-8500
Mailing address
1820 STATE ROUTE 33, SUITE 4B, NEPTUNE, NJ 07753-4860
(732) 776-8500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0674383000
AMERIHEALTH
—
01
—
1095335
UNITED HEALTH CARE
—
01
—
2100946
GHI
—
01
—
457778
AETNA
—
05
—
6063900
—
NJ
01
—
CL6959
RAILROAD MEDICARE
—
01
—
J019935
TRICARE
—
Enumeration date
05/19/2006
Last updated
04/20/2008
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