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General NPI Number Information
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NPI Number | 1598879041
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Entity Type | Organization
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Legal Business Name | MONMOUTH OCEAN PULMONARY MEDICINE, LLC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 901 W MAIN ST SUITE 160, CN 5050
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-577-0600
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Fax | 732-577-6332
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Provider Business Mailing Address
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Address Line | 901 W MAIN ST SUITE 160, CN 5050
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-577-0600
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Fax | 732-577-6332
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Authorized Official
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Title or Position | MANAGING PHYSICIAN
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Name | DR. SALVATORE A CROCE
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Credential | M.D., F.C.C.P.
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Telephone | 732-577-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | NJ
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