Organization
BAYSHORE PEDIATRIC ASSOCIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER DUCK ENGEL M.D. (OPERATING MANAGER)
(732) 888-0010
Entity
Organization
Contact information
Practice address
717 N BEERS ST, SUITE 1C, HOLMDEL, NJ 07733-1524
(732) 888-0010
(732) 888-0012
Mailing address
717 N BEERS ST, SUITE 1C, HOLMDEL, NJ 07733-1524
(732) 888-0010
(732) 888-0012
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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