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Organization
MONMOUTH COUNTY PAIN MANAGEMENT & WELLNESS CENTER
Active
Organization
MONMOUTH COUNTY PAIN MANAGEMENT & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAYNES (MEMBER)
(917) 753-5354
Entity
Organization
Contact information
Practice address
1131 BROAD ST, SHREWSBURY, NJ 07702-4329
(917) 753-5354
Mailing address
1131 BROAD ST, SHREWSBURY, NJ 07702-4329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1164752077
NJ
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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