Organization · Type 2 NPI

Shore Dermatology LLC

Medical Specialty Clinic/Center · Colts Neck, NJ

NPI number 1629253513 Active

Practice location

9 Professional Circle, Suite 103
Colts Neck, NJ 07722

Fax (732) 462-5212

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X25MB07615100 (NJ)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

About NPI 1629253513

Shore Dermatology LLC's National Provider Identifier is 1629253513, issued on Jan 9, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Colts Neck, NJ. The record was last updated on Sep 15, 2008.