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NPI Code Detail

MEDICARE: MONMOUTH DIAGNOSTICS, P.C.

MEDICARE: MONMOUTH DIAGNOSTICS, P.C.
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist114582010NJ

General Provider Information

NPI Number : 1114158516
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONMOUTH DIAGNOSTICS, P.C.
Provider Business Mailing Address
First Line : 345 UNION HILL RD
Second Line :
City : MANALAPAN
State : NJ
Zip : 07726-1875
Country : US
Telephone Number : 732-536-8700
Fax Number : 732-536-0448
Provider Business Practice Location Address
First Line : 345 UNION HILL RD
Second Line :
City : MANALAPAN
State : NJ
Zip : 07726-1875
Country : US
Telephone Number : 732-536-8700
Fax Number : 732-536-0448
Authorized Official
Title or Position : DOCTOR
Name : DR. KEITH GERARD SCHNAPPAUF
Credential : D.C.
Telephone Number : 732-536-8700
Provider Enumeration Date : 08/03/2009
Last Update Date : 08/03/2009

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