Organization
SHORE NEUROLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANDURANG R MISKIN MD (PRESIDENT)
(732) 240-4787
Entity
Organization
Contact information
Practice address
633 RTE 37 W, TOMS RIVER, NJ 08755-8007
(732) 240-4787
(732) 240-3114
Mailing address
633 RTE 37 W, TOMS RIVER, NJ 08755-8007
(732) 240-4787
(732) 240-3114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04195700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038295
AETNA
NJ
05
—
3144402
—
NJ
01
—
D02228
RAILROAD
NJ
Enumeration date
05/01/2006
Last updated
07/15/2010
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