Organization
SHORE MEMORIAL HOSPITAL
Active
Parent organization
SHORE MEMORIAL HOSPITAL
Other names
SMH Professional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHORE MEMORIAL HOSPITAL
Authorized official
MR. RONALD W. JOHNSON (PRESIDENT AND CEO)
(609) 653-3545
Entity
Organization
Contact information
Practice address
1 EAST NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3213
(609) 653-3942
Mailing address
1 EAST NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3213
(609) 653-3942
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MA65533
NJ
104100000X
Social Worker
—
NJ
133N00000X
Nutritionist
MA65533
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA04612900
NJ
207RH0003X
Hematology & Oncology Physician
Primary
MB052916
NJ
207RP1001X
Pulmonary Disease Physician
25MA04612900
NJ
207V00000X
Obstetrics & Gynecology Physician
MA65533
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
MA65533
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
—
NJ
2085R0001X
Radiation Oncology Physician
25MA08489700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8948909
—
NJ
Enumeration date
04/02/2007
Last updated
05/30/2014
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