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Organization

SHORE MEDICINE & PEDIATRICS ASSOCIATES P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAVINDRAN THIRUNAVU RAJARAMAN MD (CEO)
(732) 544-8899
Entity
Organization

Contact information

Practice address
59 AVENUE AT THE CMN STE 105, SHREWSBURY, NJ 07702-4559
(732) 544-8899
(732) 544-9888
Mailing address
59 AVENUE AT THE CMN STE 105, SHREWSBURY, NJ 07702-4559
(732) 544-8899
(732) 544-9888

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MAO7526600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
I30332
NJ
Enumeration date
03/26/2017
Last updated
03/02/2022
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