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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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