Organization
SHORE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD W. JOHNSON FACHE, MBA (PRESIDENT AND CEO)
(609) 653-3545
Entity
Organization
Contact information
Practice address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3545
Mailing address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3545
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10103
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3674703
—
NJ
Enumeration date
08/15/2005
Last updated
05/30/2014
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