Shore Radiation Oncology, Llc.

LBN: Shore Radiation Oncology, Llc.
Shore Radiation Oncology, Llc. is an health care organization with primary practice located at 425 Jack Martin Blvd , Brick NJ 08724-7732. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Shore Radiation Oncology, Llc. can be contacted via phone (732) 836-4130, or through Marnin, Connie via phone (732) 836-4130.

Contact Information

Primary practice address
425 Jack Martin Blvd Brick NJ 08724-7732
Phone: (732) 836-4130
Fax: (732) 836-4036
Website:
Map and Directions
Authorized official contact:
Name: Marnin, Connie
Phone: (732) 836-4130

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 25MA07348800 New Jersey

Profile Details

NPI number 1780686741
LBN Legal business name Shore Radiation Oncology, Llc.
DBA Doing business as
Authorized official Marnin, Connie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780686741 NPPES
New Jersey MEDICAID 9083901

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