Healthcare Provider Details

I. General information

NPI: 1255778486
Provider Name (Legal Business Name): COUNTY TREAS COUNTY OF MONMOUTH NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 KOZLOSKI RD
FREEHOLD NJ
07728-4424
US

IV. Provider business mailing address

1 E MAIN ST P.O. BOX 1256
FREEHOLD NJ
07728-2273
US

V. Phone/Fax

Practice location:
  • Phone: 732-431-6400
  • Fax:
Mailing address:
  • Phone: 732-431-7391
  • Fax: 732-409-4824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: ANDREA SIGISMONDI
Title or Position: EDI MANAGER
Credential:
Phone: 413-213-2120