Healthcare Provider Details

I. General information

NPI: 1871529495
Provider Name (Legal Business Name): MONROE FAMILY MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 SPOTSWOOD ENGLISHTOWN RD
MONROE TWP NJ
08831-8628
US

IV. Provider business mailing address

323 SPOTSWOOD ENGLISHTOWN RD
MONROE TWP NJ
08831-8628
US

V. Phone/Fax

Practice location:
  • Phone: 732-723-1000
  • Fax: 732-416-0470
Mailing address:
  • Phone: 732-723-1000
  • Fax: 732-416-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KESHAV PRASAD
Title or Position: OWNER
Credential: M.D
Phone: 732-723-1000