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NPI Code Detail

MEDICARE: CHRISTOPHER MONROE

MEDICARE:   CHRISTOPHER  MONROE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05968800NJ

General Provider Information

NPI Number : 1083099683
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MONROE
Provider Business Mailing Address
First Line : 3600 ROUTE 66 STE 150
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-2645
Country : US
Telephone Number : 856-512-0747
Fax Number :
Provider Business Practice Location Address
First Line : 3600 ROUTE 66 STE 150
Second Line :
City : NEPTUNE
State : NJ
Zip : 07753-2645
Country : US
Telephone Number : 856-512-0747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 01/29/2021

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Directions to “ CHRISTOPHER MONROE ” Practice Location

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