| Pediatrician In Monroe | |
|
18 Centre Dr Suite 205 Monroe NJ 08831-1501 | |
| (732) 561-7810 | |
| (732) 631-0742 |
| Full Name | Pediatrician In Monroe |
|---|---|
| Speciality | Clinic/center |
| Location | 18 Centre Dr, Monroe, New Jersey |
| Authorized Official Name and Position | Hanna Gebre Medhin (PEDIATRICIAN) |
| Authorized Official Contact | 7325617810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrician In Monroe 13 Summerfield Dr Monroe NJ 08831-3275 Ph: (732) 561-7810 | Pediatrician In Monroe 18 Centre Dr Suite 205 Monroe NJ 08831-1501 Ph: (732) 561-7810 |
| NPI Number | 1780866129 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780866129 | NPI | - | NPPES |
| 0148695 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25MA07639600 (New Jersey) | Primary |