| Jersey Shore Geriatrics LLC | |
|
15 School Rd E Ste 2 Marlboro NJ 07746-2061 | |
| (732) 866-9922 | |
| (732) 866-9970 |
| Full Name | Jersey Shore Geriatrics LLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 15 School Rd E Ste 2, Marlboro, New Jersey |
| Authorized Official Name and Position | Mark Pass (OWNER) |
| Authorized Official Contact | 7328669922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Geriatrics LLC Po Box 116 Marlboro NJ 07746-0116 Ph: (732) 866-9922 | Jersey Shore Geriatrics LLC 15 School Rd E Ste 2 Marlboro NJ 07746-2061 Ph: (732) 866-9922 |
| NPI Number | 1366571036 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 11/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366571036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (NU) | Primary |
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