Organization
SHORE ENDOCRINOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA FOMIN MD (DIRECTOR)
(732) 685-1566
Entity
Organization
Contact information
Practice address
193 US HIGHWAY 9 STE 1D, MANALAPAN, NJ 07726-3016
(732) 903-4005
(616) 226-4685
Mailing address
113 AUSTIN ST, TINTON FALLS, NJ 07712-7760
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2010
Last updated
06/10/2025
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