Organization
MONMOUTH COUNTY PAIN MANAGEMENT & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KEEGAN MD (MD)
(908) 692-9833
Entity
Organization
Contact information
Practice address
1131 BROAD ST STE 104, SHREWSBURY, NJ 07702-4334
(908) 692-9833
Mailing address
1131 BROAD ST STE 104, SHREWSBURY, NJ 07702-4334
(908) 692-9833
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA08847600
NJ
Other
Enumeration date
01/06/2014
Last updated
08/12/2014
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