Organization
MONMOUTH FAMILY HEALTH CENTER, INC
Active
Organization
MONMOUTH FAMILY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA DUNCAN (DIRECTOR, FINANCE)
(732) 413-2020
Entity
Organization
Contact information
Practice address
270 BROADWAY, LONG BRANCH, NJ 07740-7027
(732) 923-7100
(732) 923-7104
Mailing address
270 BROADWAY, LONG BRANCH, NJ 07740-7027
(732) 923-7100
(732) 923-7104
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032361
—
NJ
Enumeration date
06/19/2006
Last updated
01/05/2011
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