Shore Medicine Llc in Lakewood - Geriatric Medicine
Shore Medicine Llc - NPI 1972638039
Shore Medicine Llc is a Geriatric Medicine in Lakewood, New Jersey. Shore Medicine Llc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Shore Medicine Llc is 1972638039. The last update date is 2007-10-26.
Shore Medicine Llc's current location address is 1255 Highway 70, Lakewood, New Jersey. You can contact this provider via phone number 7327300020 and fax number 7327300035. The mailing address for Shore Medicine Llc is 1255 Highway 70, Lakewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shore Medicine Llc |
|---|---|
| Address | 1255 Highway 70, Lakewood, New Jersey |
| Phone Number | 7327300020 |
| Fax Number | 7327300035 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thopcherla Manjula |
| Credentials | M.D. |
| Telephone Number | 7327300020 |
NPI Number Detail
| NPI Number | 1972638039 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-10-26 |
Provider Mailing Address Detail
| Address | 1255 Highway 70 |
|---|---|
| City | Lakewood |
| State | New Jersey (NJ) |
| Post Code | 87015900 |
| Phone Number | 7327300020 |
| Fax Number | 7327300035 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DE4170 | NJ | PALMETTO GBA RAILROAD MED |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shore Medicine Llc?
The Shore Medicine Llc has been issued the NPI (National Provider Identifier) 1972638039 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Shore Medicine Llc is located?
The Shore Medicine Llc is situated at the following address: 1255 Highway 70, Lakewood, NJ, 87015900.
What is Shore Medicine Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shore Medicine Llc's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0300X.
On what date did the Shore Medicine Llc receive the assignment of its 1972638039 from the Centers for Medicare & Medicaid Services?
The Shore Medicine Llc was issued its 1972638039 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details pertaining to Shore Medicine Llc last refreshed?
The information related to the Shore Medicine Llc, including its address, specialty, and other relevant details, was last updated on 2007-10-26.
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