Organization
SHORE IMAGING, P.C.
Active
Other names
SHORE IMAGING, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA KARASKA (CREDENTIALLING)
(732) 364-6004
Entity
Organization
Contact information
Practice address
1166 RIVER AVE, STE 102, LAKEWOOD, NJ 08701-5600
(732) 364-9565
(732) 364-1908
Mailing address
1166 RIVER AVE, STE 102, LAKEWOOD, NJ 08701-5600
(732) 364-9565
(732) 364-1908
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
22713
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5381002
—
NJ
Enumeration date
06/20/2005
Last updated
02/08/2012
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