Shore Vascular,pc

NPI #1063692317 in Manasquan, New Jersey

Provider Information

NPI Number: 1063692317
Entity Type: Organization
Organization Name: Shore Vascular,pc
Primary Specialty: Specialist
Enumeration Date: Nov 5, 2007
Last Updated: Nov 16, 2007

Practice Location

Address: 2435 HIGHWAY 34
Address 2: 184
City: Manasquan
State: New Jersey
ZIP Code: 08736-1807
Phone: (732) 292-9227

Authorized Official

Name: DR. LOUIS GRELLA
Title: PRESIDENT
Phone: (732) 292-9227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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