Organization
MONMOUTH INFECTIOUS DISEASE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY N. MATHUR M.D. (PRESIDENT)
(718) 819-2920
Entity
Organization
Contact information
Practice address
223 DRUM POINT RD, BRICK, NJ 08723-6311
(718) 819-2920
(718) 307-6434
Mailing address
223 DRUM POINT RD, BRICK, NJ 08723-6311
(718) 819-2920
(718) 307-6434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07808400
NJ
Other
Enumeration date
03/19/2008
Last updated
06/28/2010
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