Organization
SEASHORE SURGICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH PECORARO MD (PRESIDENT)
(732) 836-9800
Entity
Organization
Contact information
Practice address
495 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 836-9800
(732) 836-3077
Mailing address
495 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 836-9800
(732) 836-3077
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23141
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001188
HORIZON BC BS OF NJ
NJ
01
—
A2951537
OXFORD
NJ
01
—
J29601
HEALTHNET
NJ
01
—
P00083923
RAILROAD MEDICARE
NJ
Enumeration date
03/01/2007
Last updated
07/01/2008
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