Organization
BAYSHORE OPHTHALMOLOGY, LLC
Active
Organization
BAYSHORE OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUREKHA COLLUR MD (OWNER)
(732) 264-6464
Entity
Organization
Contact information
Practice address
628 SHREWSBURY AVE, TINTON FALLS, NJ 07701-4932
(732) 842-2288
(732) 219-0072
Mailing address
719 N BEERS ST, SUITE 1B, HOLMDEL, NJ 07733-1522
(732) 264-6464
(732) 264-5114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00562000
NJ
207W00000X
Ophthalmology Physician
Primary
25MA07128400
NJ
Other
Enumeration date
12/27/2007
Last updated
04/09/2008
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