Healthcare Provider Details
I. General information
NPI: 1629761069
Provider Name (Legal Business Name): FIRST HEALTH OF MONROE, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2023
Last Update Date: 07/15/2023
Certification Date: 07/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
369 APPLEGARTH RD STE 3
MONROE NJ
08831-3732
US
IV. Provider business mailing address
14 SANIBEL CT
MONROE NJ
08831-5817
US
V. Phone/Fax
- Phone: 609-799-5000
- Fax:
- Phone: 609-799-5000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARUNA
CHAKRALA
Title or Position: PRESIDENT
Credential: MD
Phone: 609-799-5000