Organization
PEDIATRICIAN IN MONROE
Active
Other names
Hanna Gebre Medhin
Organization subpart
No
Provider details
NPI number
Authorized official
HANNA GEBRE MEDHIN M.D. (PEDIATRICIAN)
(732) 561-7810
Entity
Organization
Contact information
Practice address
18 CENTRE DR, SUITE 205, MONROE, NJ 08831-1501
(732) 561-7810
(732) 631-0742
Mailing address
13 SUMMERFIELD DR, MONROE, NJ 08831-3275
(732) 561-7810
(732) 631-0742
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA07639600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148695
—
NJ
Enumeration date
11/28/2007
Last updated
10/01/2012
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