SHORE SURGICAL PAVILION, LLC is an ambulatory surgical clinic center in Lakewood, NJ. SHORE SURGICAL PAVILION, LLC NPI is 1154622579. The provider is registered as an organization entity type.
The provider's business location address is:
475 ROUTE 70
SUITE 202
LAKEWOOD, NJ
ZIP 08701-897
Phone: (732) 730-3939
Fax: (732) 730-9119
The provider's authorized official is Douglas Manganelli .
The authorized official title is Medical Director and has the following contact phone number (732) 730-3939.
The CLIA number assigned to this NPI record is 31D2027255 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/17/2010 and was last updated on 11/19/2019.