Healthcare Provider Details

I. General information

NPI: 1154493336
Provider Name (Legal Business Name): MEDICAL MONITORING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 RT 33
HAMILTON NJ
08690
US

IV. Provider business mailing address

2131 RT 33
HAMILTON NJ
08690
US

V. Phone/Fax

Practice location:
  • Phone: 609-585-4900
  • Fax: 609-585-4902
Mailing address:
  • Phone: 609-585-4900
  • Fax: 609-585-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLAN N SEROTTE
Title or Position: OWNER MANAGER BOARD MEMBER
Credential:
Phone: 609-585-4950