Organization
SEASHORE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON W SLOTOROFF DO (PRESIDENT)
(609) 641-1077
Entity
Organization
Contact information
Practice address
48 ANSLEY BLVD, PLEASANTVILLE, NJ 08232-3058
(609) 641-1077
(609) 641-1023
Mailing address
48 ANSLEY BLVD, PLEASANTVILLE, NJ 08232-3058
(609) 641-1077
(609) 641-1023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2633604
—
NJ
Enumeration date
10/23/2006
Last updated
08/25/2008
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