Organization
BAYSHORE MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRIAN KELLY D.O. (PRESIDENT / MEDICAL DOCTOR)
(732) 804-8590
Entity
Organization
Contact information
Practice address
508 LAKEHURST RD STE 3B, TOMS RIVER, NJ 08755-8000
(609) 242-2705
(609) 312-7195
Mailing address
PO BOX 659, LANOKA HARBOR, NJ 08734-0659
(609) 242-2705
(609) 312-7195
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MBO63894
NJ
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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