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Organization

GREATER MONMOUTH NEUROLOGY PC

Active
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Organization

GREATER MONMOUTH NEUROLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCHUBER C FAN M.D. (PRESIDENT)
(732) 741-1378
Entity
Organization

Contact information

Practice address
130 MAPLE AVE, SUITE 1A, RED BANK, NJ 07701-1734
(732) 741-1378
(732) 741-1677
Mailing address
130 MAPLE AVE, SUITE 1A, RED BANK, NJ 07701-1734
(732) 741-1378
(732) 741-1677

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA02773400
NJ

Other

Enumeration date
10/18/2006
Last updated
03/06/2013
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