Organization
MONROE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN ENECIO (PHYSICIAN)
(609) 918-0330
Entity
Organization
Contact information
Practice address
685 AVON DR, EAST WINDSOR, NJ 08520
(609) 918-0330
Mailing address
685 AVON DR, EAST WINDSOR, NJ 08520
(609) 918-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140022001
KEYSTONE
—
01
—
2590626
GHI
—
Enumeration date
02/21/2007
Last updated
08/22/2020
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