Organization
MID ATLANTIC GERIATRIC ASSOCIATES-OCEAN, P.A
Active
Organization
MID ATLANTIC GERIATRIC ASSOCIATES-OCEAN, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA R SHUA-HAIM MD FACP AGSF CMD (MEDICAL DIRECTOR)
(732) 657-6100
Entity
Organization
Contact information
Practice address
1043 ROUTE 70, UNIT C3, MANCHESTER, NJ 08759-5806
(732) 657-6100
(732) 657-0111
Mailing address
1043 ROUTE 70, UNIT C3, MANCHESTER, NJ 08759-5806
(732) 657-6100
(732) 657-0111
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134165210
NPI
—
Enumeration date
06/20/2006
Last updated
03/18/2013
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