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Organization

SHORE VASCULAR,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIS GRELLA (PRESIDENT)
(732) 292-9227
Entity
Organization

Contact information

Practice address
2435 HIGHWAY 34, 184, MANASQUAN, NJ 08736-1807
(732) 292-9227
Mailing address
2435 HIGHWAY 34, 184, MANASQUAN, NJ 08736-1807

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA61104
NJ

Other

Enumeration date
11/05/2007
Last updated
11/16/2007
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