Organization
MID ATLANTIC GERIATRIC ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA R SHUA-HAIM MD FACP AGSF CMD (MEDICAL DIRECTOR)
(732) 663-0099
Entity
Organization
Contact information
Practice address
1205 ROUTE 35, OCEAN, NJ 07712-4051
(732) 663-0099
(732) 663-1359
Mailing address
1205 ROUTE 35, OCEAN, NJ 07712-4051
(732) 663-0099
(732) 663-1359
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA05837900
NJ
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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