Organization Name: | SHORE HEALTH SERVICES, INC |
NPI Number: | 1811219751 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH ZAGER (ADMINISTRATOR/VP) |
Mailing Address: | 9507 Hospital Ave Nassawadox |
State: | VA US |
Postal Code: | 234130017 |
Phone Number: | 7574148054 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2010 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |