Active NPIOrganization

Shore Vascular,pc

Specialist in Manasquan, New Jersey

NPI Number1063692317
Practice location
2435 Highway 34, 184, Manasquan, NJ 08736-1807
Fax
—
Last updated
November 16, 2007

Shore Vascular,pc is a healthcare organization based in Manasquan, NJ. Shore Vascular,pc practices in Manasquan, NJ. The NPI Number for Shore Vascular,pc is 1063692317 and holds a License No. MA61104 (NJ). The current practice location address for Shore Vascular,pc is 2435 Highway 34, 184, Manasquan, NJ 08736-1807 and can be reached out via phone at 732-292-9227.

Provider Profile Details

NPI Number
1063692317
Provider Name
Shore Vascular,pc
Provider Entity Type
Organization
Address
2435 Highway 34, 184, Manasquan, NJ 08736-1807
Phone Number
732-292-9227
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Louis Grella · President · 732-292-9227
Provider Enumeration Date
November 5, 2007
Last Update Date
November 16, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2435 Highway 34
184
Manasquan, NJ 08736-1807
Zip
08736-1807
Phone Number
732-292-9227
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
2435 Highway 34
184
Manasquan, NJ 08736-1807
City
Manasquan
State
NJ
Zip
08736-1807

License Information

License Number
MA61104
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shore Vascular,pc?

The NPI number of Shore Vascular,pc is 1063692317. It was assigned on November 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Shore Vascular,pc?

Shore Vascular,pc is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA61104.

Where does Shore Vascular,pc practice?

The practice location is 2435 Highway 34, 184, Manasquan, NJ 08736-1807. The office can be reached at 732-292-9227 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063692317 directly on the NPPES registry website.

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