Organization
SHORE CARDIAC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVNA MOHANDAS MD, FACC (OWNER)
(732) 330-2566
Entity
Organization
Contact information
Practice address
651 ROUTE 37 W, TOMS RIVER, NJ 08755-8060
(732) 286-6103
(732) 518-5252
Mailing address
651 ROUTE 37 W, TOMS RIVER, NJ 08755-8060
(732) 286-6103
(732) 518-5252
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA09530100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061697
—
NJ
Enumeration date
03/25/2015
Last updated
01/06/2016
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