Individual
AJAY MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 202-1500
(732) 202-1058
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MB12592900
NJ
2086S0129X
Vascular Surgery Physician
Primary
25MB12592900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2018
Last updated
08/13/2025
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