Organization
SHORE MEMORIAL HOSPITAL
Active
Organization
SHORE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD W. JOHNSON FACHE, MBA (PRESIDENT AND CEO)
(609) 653-3545
Entity
Organization
Contact information
Practice address
2605 SHORE RD, NORTHFIELD, NJ 08225-2136
(609) 653-3454
(609) 927-8172
Mailing address
1 E NEW YORK AVE, SOMERS POINT, NJ 08244-2340
(609) 653-3545
(609) 927-8172
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1084
NJ
Other
Enumeration date
08/25/2005
Last updated
04/03/2012
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