Organization
SHORE ORTHOPEDIC UNIVERSITY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
24 MACARTHUR BLVD, SOMERS POINT, NJ 08244-1776
(609) 927-1991
Mailing address
24 MACARTHUR BLVD, SOMERS POINT, NJ 08244-1776
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA06365500
NJ
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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