Jersey Shore Hospital Foundation, INC

NPI #1417019498 in Avis, Pennsylvania

Provider Information

NPI Number: 1417019498
Entity Type: Organization
Organization Name: Jersey Shore Hospital Foundation, INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 15, 2006
Last Updated: Apr 3, 2014

Practice Location

Address: 104 EAST CENTRAL AVENUE
City: Avis
State: Pennsylvania
ZIP Code: 17721
Phone: (570) 753-8620

Authorized Official

Name: MR. CAREY W. PLUMMER, CEO
Title: CEO
Phone: (570) 398-3101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Orthopaedic Surgery	207X00000X
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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