Organization
SHORE REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE LAVIN (OFFICE MANAGER)
(732) 244-0222
Entity
Organization
Contact information
Practice address
137 ATLANTIC CITY BLVD, BEACHWOOD, NJ 08722-2935
(732) 244-0222
(732) 244-0450
Mailing address
137 ATLANTIC CITY BLVD, BEACHWOOD, NJ 08722-2935
(732) 244-0222
(732) 244-0450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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