Bayshore Physicians Proffessional Associates, P.C.
Internal Medicine in Middletown, NJ. Organization (NPI-2).
NPI number1790738847
StatusActive
Last updated in NPPESOct 17, 2007
Details
- NPI
- 1790738847
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayshore Physicians Proffessional Associates, P.C.
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Oct 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
180 Kings HwyMiddletown, NJ 07748-2022
Phone 732-671-0557
Mailing address
180 Kings HwyMiddletown, NJ 07748-2022
Authorized official
L. Scott Larsen
President
7328887353
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