| Organization Name: | SHORE AMBULATORY SURGICAL CENTER, LLC |
| NPI Number: | 1184686164 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA MCKINLEY (BUSINESS MANAGER) |
| Mailing Address: | 405 Bethel Rd Somers Point |
| State: | NJ US |
| Postal Code: | 082442108 |
| Phone Number: | 6096017601 |
| Fax Number: | 6096017910 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 22962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |