Provider Demographics
NPI:1265611180
Name:BAYSHORE MEDICAL EQUIPMENTS AND SURGICAL INC
Entity type:Organization
Organization Name:BAYSHORE MEDICAL EQUIPMENTS AND SURGICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STORE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEYUR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-441-0505
Mailing Address - Street 1:334 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3239
Mailing Address - Country:US
Mailing Address - Phone:732-441-0505
Mailing Address - Fax:732-441-0503
Practice Address - Street 1:334 MAIN ST
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3239
Practice Address - Country:US
Practice Address - Phone:732-441-0505
Practice Address - Fax:732-441-0503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-27
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies