Organization
MONMOUTH MEDICAL ASSOCIATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH MAZANOWSKI (PRESIDENT)
(732) 229-3344
Entity
Organization
Contact information
Practice address
721 W KENNEDY BLVD, LAKEWOOD, NJ 08701-1255
(732) 229-3344
(732) 728-0870
Mailing address
721 W KENNEDY BLVD, LAKEWOOD, NJ 08701-1255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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