Organization
SHORE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RISA JILL GORIN DO (SOLE MEMBER)
(732) 462-5200
Entity
Organization
Contact information
Practice address
9 PROFESSIONAL CIRCLE, SUITE 103, COLTS NECK, NJ 07722
(732) 462-5200
(732) 462-5212
Mailing address
9 PROFESSIONAL CIRCLE, SUITE 103, COLTS NECK, NJ 07722
(732) 462-5200
(732) 462-5212
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MB07615100
NJ
Other
Enumeration date
01/09/2008
Last updated
09/15/2008
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