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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHORE ORAL MAXILLO SURGERY GROUP PA

Active Organization

SHORE ORAL MAXILLO SURGERY GROUP PA is a Oral & Maxillofacial Surgery organization located in LAKEWOOD, New Jersey. NPI 1619104015 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · LAKEWOOD, NJ

Registration Details

NPI Number
1619104015
Provider Type
Organization
NPI Issued
Jun 12, 2009 (17.215376212652 yrs)
Last Updated
Jun 12, 2009
License
DI09103 (NJ)

Practice Information

Address
301 MADISON AVE
LAKEWOOD, NJ, 087013266
Browse NJ providers · Browse ZIP 08701
Phone
7323674042
Fax
7329059210
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.