Organization
SHORE SURGICAL PROFESSIONAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE C GODFREY MD (GENERAL TRAUMA SURGERYOCCUPATIONAL)
(609) 646-1739
Entity
Organization
Contact information
Practice address
705 WHITE HORSE PIKE, ABSECON, NJ 08201-1468
(609) 646-1739
(609) 646-7247
Mailing address
705 WHITE HORSE PIKE, ABSECON, NJ 08201-1468
(609) 646-1739
(609) 646-7247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA14407
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099202
—
NJ
Enumeration date
10/23/2006
Last updated
05/05/2009
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