Organization
SHORE POINT OB & GYN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLAVIUS M THOMPSON MD (OWNER)
(732) 905-6560
Entity
Organization
Contact information
Practice address
149 BRISTOL CT, LAKEWOOD, NJ 08701-4635
(732) 905-6560
(732) 818-9741
Mailing address
149 BRISTOL CT, LAKEWOOD, NJ 08701-4635
(732) 905-6560
(732) 818-9741
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA04683000
NJ
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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