Organization
SHORE RADIATION ONCOLOGY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE MARNIN (OFFICE MANAGER)
(732) 836-4130
Entity
Organization
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 836-4130
(732) 836-4036
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 836-4130
(732) 836-4036
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA07348800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9083901
—
NJ
Enumeration date
06/02/2005
Last updated
08/22/2020
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