SHORE OUTPATIENT SURGICENTER LLC
Surgery Yellow Pages
Lakewood, New Jersey
Provider NPI: 1366449571
Organization Information:Organization Name: SHORE OUTPATIENT SURGICENTER LLC
Practice Location:
360 ROUTE 70 LAKEWOOD, NJ 08701 US
Tel: 732-942-9835 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
360 ROUTE 70 LAKEWOOD, NJ 08701 US
Tel: 732-942-9835 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | NJ | 22372 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | 490003641 | NJ | 01 |
7642504 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin