Shore Laboratory Diagnostics, LLC

Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Somers Point, NJ

NPI 1659636884 · NPPES record last updated Jul 13, 2012

Key facts

NPI
1659636884
Entity type
Organization (NPI type 2)
Primary specialty
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Legal business name
SHORE LABORATORY DIAGNOSTICS, LLC
Practice address
1 E New York Ave
Somers Point, NJ 08244-2340
Phone
(609) 653-3712
NPI assigned
Jul 13, 2012
Organization subpart
No

Authorized official

Name
Dr. Craig M Jurasinski, M.D.
Title
Chief Financial Officer
Phone
(609) 653-3712

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207ZP0102X NJ Yes

Addresses

Primary practice location

1 E New York Ave
Somers Point, NJ 08244-2340

Mailing address

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3712

Other providers in Somers Point, NJ

All providers in Somers Point, NJ · Anatomic Pathology & Clinical Pathology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.