Organization
EDGARDO C MOJARES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS EDGARDO C MOJARES SR. MD (OWNER)
(732) 571-0600
Entity
Organization
Contact information
Practice address
175 MONMOUTH RD, WEST LONG BRANCH, NJ 07764-1028
(732) 571-0600
Mailing address
175 MONMOUTH RD, WEST LONG BRANCH, NJ 07764-1028
(732) 571-0600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MA28091
NJ
207R00000X
Internal Medicine Physician
MA72134
NJ
208000000X
Pediatrics Physician
MA72134
NJ
208600000X
Surgery Physician
Primary
MA28091
NJ
208D00000X
General Practice Physician
MA28091
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461011
ST BARNABAS SYSTEM HEALTH
—
05
—
9008802
—
NJ
Enumeration date
07/29/2006
Last updated
09/11/2025
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