Organization
SHORE HEALTH SERVICES, INC
Active
Other names
Riverside Shore Diabetes Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ZAGER (ADMINISTRATOR/VP)
(757) 414-8765
Entity
Organization
Contact information
Practice address
9507 HOSPITAL AVE, NASSAWADOX, VA 23413-0017
(757) 414-8054
Mailing address
PO BOX 706, NASSAWADOX, VA 23413-0706
(757) 414-8054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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