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Organization

SEASHORE PEDIATRIC THERAPY CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT WILLIAM MATTHEWS PT (PRESIDENT)
(609) 713-9976
Entity
Organization

Contact information

Practice address
230 DIVISION ST, MANAHAWKIN, NJ 08050-3130
(609) 713-9976
Mailing address
5 POPLAR ST, WEST CREEK, NJ 08092-2835
(609) 713-9976

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
40QA00573000
NJ

Other

Enumeration date
03/31/2017
Last updated
03/31/2017
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