Healthcare Provider Details

I. General information

NPI: 1346283496
Provider Name (Legal Business Name): CATHERINE HANLON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MONMOUTH MEDICAL CENTER 300 SECOND AVENUE
LONG BRANCH NJ
07740
US

IV. Provider business mailing address

PO BOX 611
SPRING LAKE HEIGHTS NJ
07762
US

V. Phone/Fax

Practice location:
  • Phone: 732-923-6071
  • Fax:
Mailing address:
  • Phone: 908-692-9715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA05515100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA05515100
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number25MA05515100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: