| NPI | 1992720809 |
|---|---|
| Doing Business As | SHORE PREVENTATIVE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | BANKIM D SHAH President 732-341-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-02-16 |