| Shore Atlantic Medicine Llc | |
|
1740 Bayshore Rd Villas NJ 08251-2142 | |
| (609) 886-4441 | |
| (609) 889-1766 |
| Full Name | Shore Atlantic Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1740 Bayshore Rd, Villas, New Jersey |
| Authorized Official Name and Position | Aloysius C Onwuka (CEO) |
| Authorized Official Contact | 6098864441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Atlantic Medicine Llc 1740 Bayshore Rd Villas NJ 08251-2142 Ph: (609) 886-4441 | Shore Atlantic Medicine Llc 1740 Bayshore Rd Villas NJ 08251-2142 Ph: (609) 886-4441 |
| NPI Number | 1598443517 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 2264887298 |
|---|---|
| Medicare Enrollment ID | O20231011003773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598443517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Aloysius Chukwumyche Onwuka |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659328987 PECOS PAC ID: 5496730483 Enrollment ID: I20040623000532 |
Shore Atlantic Geriatrics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1740 Bayshore Road, Villas, NJ 08251 Phone: 609-886-4441 Fax: 609-889-1766 |