NPI

Shore Surgical Assistant Service, LLC

NPI 1104949528

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-04-09
Last updated
2020-05-21

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Specialties

Licenses

License NJ
26NO09467800

Location

Practice location
62 Tuckahoe Rd
City
Dorothy NJ
Postal code
08317-9702
Phone
(609) 476-4624

Organization contact

Name
Gary Buck
Title
Owner
Phone
(609) 476-4624

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Dorothy, NJ. 9 records in the public file.

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