Organization
JERSEY SHORE GERIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PASS MD (OWNER)
(732) 866-9922
Entity
Organization
Contact information
Practice address
15 SCHOOL RD E STE 2, MARLBORO, NJ 07746-2061
(732) 866-9922
(732) 866-9970
Mailing address
PO BOX 116, MARLBORO, NJ 07746-0116
(732) 866-9922
(732) 866-9970
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
11/27/2017
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