Provider Demographics
NPI:1689117673
Name:SHORE PERINATAL ASSOCIATES
Entity Type:Organization
Organization Name:SHORE PERINATAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:HUX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-449-9900
Mailing Address - Street 1:2130 HIGHWAY 35
Mailing Address - Street 2:SUITE 123A
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1010
Mailing Address - Country:US
Mailing Address - Phone:732-449-9900
Mailing Address - Fax:732-449-4407
Practice Address - Street 1:2130 HIGHWAY 35
Practice Address - Street 2:SUITE 123A
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1010
Practice Address - Country:US
Practice Address - Phone:732-449-9900
Practice Address - Fax:732-449-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05456700207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Multi-Specialty