Shore Care Pediatrics L.L.C.
Clinic/Center, Primary Care in Tinton Falls, NJ. Organization (NPI-2).
NPI number1154636751
StatusActive
Last updated in NPPESAug 9, 2010
Details
- NPI
- 1154636751
- Entity type
- Organization (NPI-2)
- Legal business name
- Shore Care Pediatrics L.L.C.
- Organization subpart
- No
- Enumeration date
- Aug 9, 2010
- Last updated
- Aug 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
4000 Route 66Suite 125
Tinton Falls, NJ 07753-7300
Phone 732-922-2105
Mailing address
4000 Route 66Suite 125
Tinton Falls, NJ 07753-7300
Phone 732-922-2105
Authorized official
Rebecca Ann Perril
Owner
7329222105
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