| NPI | 1275310591 |
|---|---|
| Doing Business As | SHORELINE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |