Organization
JERSEY SHORE PSYCHIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M BENNINGTON (OFFICE MANAGER)
(732) 643-4403
Entity
Organization
Contact information
Practice address
3535 RTE 66, STE 5, NEPTUNE, NJ 07753-2625
(732) 643-4350
(732) 643-4398
Mailing address
3535 RTE 66, BUILDING 5, NEPTUNE, NJ 07753-2622
(732) 643-4350
(732) 643-4398
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7276303
—
NJ
Enumeration date
06/15/2005
Last updated
01/23/2008
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