Provider Demographics
NPI:1952340846
Name:SHORE HEALTH AND REHAB PRODUCTS INC
Entity Type:Organization
Organization Name:SHORE HEALTH AND REHAB PRODUCTS INC
Other - Org Name:CARLTON SURGICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-223-8331
Mailing Address - Street 1:75 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-2925
Mailing Address - Country:US
Mailing Address - Phone:732-223-8331
Mailing Address - Fax:732-223-1091
Practice Address - Street 1:75 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2925
Practice Address - Country:US
Practice Address - Phone:732-223-8331
Practice Address - Fax:732-223-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0231110002Medicare NSC