Organization
SHORE PSYCHIATRIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY B GORDON PHD (PRACTICE CO-OWNER)
(732) 840-5266
Entity
Organization
Contact information
Practice address
1683 ROUTE 88 W, BRICK, NJ 08724-3072
(732) 840-5266
(732) 840-7840
Mailing address
1683 ROUTE 88 W, BRICK, NJ 08724-3072
(732) 840-5266
(732) 840-7840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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