is a Specialist in Freehold, New Jersey. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1114077211. The last update date is .
's current location address is 222 Schanck Rd, Freehold, New Jersey. You can contact this provider via phone number 7324311666 and fax number 7324311665. The mailing address for is 222 Schanck Rd, Freehold, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 222 Schanck Rd, Freehold, New Jersey |
| Phone Number | 7324311666 |
| Fax Number | 7324311665 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114077211 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 222 Schanck Rd |
|---|---|
| City | Freehold |
| State | New Jersey (NJ) |
| Post Code | 77283068 |
| Phone Number | 7324311666 |
| Fax Number | 7324311665 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25MA02666400 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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