Organization
SHORE PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER SONZA SADIANG-ABAY APRN-BC (ADULT NURSE PRACTITIONER)
(732) 557-0379
Entity
Organization
Contact information
Practice address
1354 FOREST GLEN CT, TOMS RIVER, NJ 08755-1386
(732) 557-0379
Mailing address
1354 FOREST GLEN CT, TOMS RIVER, NJ 08755-1386
(732) 557-0379
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0400140258
NJ
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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