Organization
PREMIER SHORE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON NEHMAD MD (OWNER)
(917) 406-8696
Entity
Organization
Contact information
Practice address
2621 HWY 138, WALL TOWNSHIP, NJ 07719-9660
(732) 556-1060
Mailing address
PO BOX 101, W LONG BRANCH, NJ 07764-0101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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