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Organization
MONMOUTH MEDICAL ASSOCIATION PC
Active
Organization
MONMOUTH MEDICAL ASSOCIATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MAZANOWSKI (PRESIDENT)
(732) 229-3344
Entity
Organization
Contact information
Practice address
285 PARKER ROAD, EATONTOWN, NJ 07724
(732) 229-3344
(732) 728-0870
Mailing address
450 SHREWSBURY PLAZA, SUITE 291, SHREWSBURY, NJ 07702
(732) 229-3344
(732) 728-0870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/13/2006
Last updated
08/16/2012
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