Shore Dermatology Llc in Colts Neck - Medical Specialty
Shore Dermatology Llc - NPI 1629253513
Shore Dermatology Llc is a Medical Specialty in Colts Neck, New Jersey. Shore Dermatology Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Shore Dermatology Llc is 1629253513. The last update date is 2008-09-15.
Shore Dermatology Llc's current location address is 9 Professional Circle, Colts Neck, New Jersey. You can contact this provider via phone number 7324625200 and fax number 7324625212. The mailing address for Shore Dermatology Llc is 9 Professional Circle, Colts Neck, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shore Dermatology Llc |
|---|---|
| Address | 9 Professional Circle, Colts Neck, New Jersey |
| Phone Number | 7324625200 |
| Fax Number | 7324625212 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE MEMBE |
|---|---|
| Authorized Official Name | Gorin Jill Risa |
| Credentials | DO |
| Telephone Number | 7324625200 |
NPI Number Detail
| NPI Number | 1629253513 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-09-15 |
Provider Mailing Address Detail
| Address | 9 Professional Circle |
|---|---|
| City | Colts Neck |
| State | New Jersey (NJ) |
| Post Code | 7722 |
| Phone Number | 7324625200 |
| Fax Number | 7324625212 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 25MB07615100 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique identifier code issued to Shore Dermatology Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shore Dermatology Llc has been assigned the NPI (National Provider Identifier) 1629253513. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Shore Dermatology Llc's facilities are situated?
The facilities of Shore Dermatology Llc are physically located at the following address: 9 Professional Circle, Colts Neck, NJ, 7722.
What is Shore Dermatology Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shore Dermatology Llc is Medical Specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm2500X.
On what date did Shore Dermatology Llc receive its 1629253513 assignment from the Centers for Medicare & Medicaid Services?
The Shore Dermatology Llc was assigned its 1629253513 on 2008-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Shore Dermatology Llc's details last updated?
The information pertaining to the Shore Dermatology Llc, including its address, specialty, and other details, was most recently updated on 2008-09-15.
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