| NPI | 1154082584 |
|---|---|
| Other Name | SHORELINE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STRUBBE Managing Director, Samples 973-644-2204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |