Whalio Doctors

NPI 1578989596

Jersey Shore Medical Associates PC

Organisation Non-Pharmacy Dispensing Site Toms River, NJ

Practice location

Address
1028 Hooper Ave, Toms River, NJ 08753-8321
Phone
(732) 202-6850
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Vp of Operations
Phone
(858) 964-1506

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 26NJ00453900 (NJ)

Registry record

NPI
1578989596
Entity type
Organization
NPI issued
14 Mar 2014
Record last updated
17 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.