Organization
SHORE ORTHOPEDIC UNIVERSITY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
18 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9510
(609) 703-5097
Mailing address
18 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9510
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA06365500
NJ
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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