Individual
ELLEN MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, PEDIATRIC E.R., NEWARK, NJ 07103-2496
(973) 972-5129
(973) 972-5965
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA05724000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6403701
—
NJ
Enumeration date
02/28/2007
Last updated
01/26/2022
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