| NPI | 1922086313 |
|---|---|
| Former Legal Business Name | SHORE UROLOGY, P.A. |
| Entity Type | Organization |
| Authorized Contact | IRA G KESELMAN Managing Partner 732-963-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2021-04-27 |