Shore Orthopedic University Associates PA
Non-Pharmacy Dispensing Site in Galloway, NJ. Organization (NPI-2).
NPI number1750744827
StatusActive
Last updated in NPPESApr 5, 2016
Details
- NPI
- 1750744827
- Entity type
- Organization (NPI-2)
- Legal business name
- Shore Orthopedic University Associates PA
- Organization subpart
- No
- Enumeration date
- Apr 5, 2016
- Last updated
- Apr 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 25MA06365500 | NJ | Yes |
Practice location
18 E Jimmie Leeds RdGalloway, NJ 08205-9510
Phone 609-703-5097
Mailing address
18 E Jimmie Leeds RdGalloway, NJ 08205-9510
Authorized official
Matt Legowski
Operations
6097035097
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