Organization · Type 2 NPI

Shore Surgical Pavilion, LLC

Ambulatory Surgical Clinic/Center · Lakewood, NJ

NPI number 1154622579 Active

About NPI 1154622579

Shore Surgical Pavilion, LLC's National Provider Identifier is 1154622579, issued on Nov 17, 2010. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Lakewood, NJ. The record was last updated on Nov 19, 2019.