| Organization Name: | SHORE WELLNESS CENTER, INC. |
| NPI Number: | 1225018617 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL R SANTAMARIA (PRESIDENT) |
| Mailing Address: | 255 Monmouth Rd Oakhurst |
| State: | NJ US |
| Postal Code: | 077551515 |
| Phone Number: | 7326601560 |
| Fax Number: | 7326601562 |
| NPI Enumeration Date: | 01/20/2006 |
| NPI Last Update Date: | 10/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |