Organization
SHORE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJULA THOPCHERLA M.D. (PRESIDENT)
(732) 730-0020
Entity
Organization
Contact information
Practice address
1255 HIGHWAY 70, SUITE 24-S, LAKEWOOD, NJ 08701-5900
(732) 730-0020
(732) 730-0035
Mailing address
1255 HIGHWAY 70, SUITE 24-S, LAKEWOOD, NJ 08701-5900
(732) 730-0020
(732) 730-0035
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE4170
PALMETTO GBA RAILROAD MED
NJ
Enumeration date
02/22/2007
Last updated
10/26/2007
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