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Organization

BAYSHORE MEDICAL GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. L SCOTT LARSEN M.D. (PRESIDENT)
(732) 888-7353
Entity
Organization

Contact information

Practice address
146 RTE 9, MARLBORO PLAZA, ENGLISHTOWN, NJ 07726-8249
(732) 972-0660
Mailing address
156 RTE 9, MARLBORO PLAZA, ENGLISHTOWN, NJ 07726-8231
(732) 972-0660

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/19/2006
Last updated
10/17/2007
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