Organization
SHORE HEALTH SYSTEM, INC.
Active
Other names
Shore Health System Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH D KOZEL (PRESIDENT & CEO)
(410) 822-1000
Entity
Organization
Contact information
Practice address
6 CAULK LANE, EASTON, MD 21601-3854
(410) 822-5559
(410) 822-8238
Mailing address
219 S WASHINGTON STREET, EASTON, MD 21601-2913
(410) 822-1000
(410) 822-7834
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000305100
—
MD
Enumeration date
01/25/2010
Last updated
03/01/2018
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