Organization
SHORE GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC R GROSS M.D. (PRESIDENT OF COMPANY)
(732) 517-0060
Entity
Organization
Contact information
Practice address
1907 HIGHWAY 35, STE 1, OAKHURST, NJ 07755-2760
(732) 517-0060
(723) 517-8589
Mailing address
1907 HIGHWAY 35, STE 1, OAKHURST, NJ 07755-2760
(732) 517-0060
(732) 517-8589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA047267000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3385809
—
NJ
Enumeration date
06/09/2005
Last updated
02/12/2009
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