Organization
MONETTE M. TRESVALLES, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONETTE M. TRESVALLES MD (OWNER)
(732) 716-1000
Entity
Organization
Contact information
Practice address
65 LACEY RD STE D, WHITING, NJ 08759-2985
(732) 716-1000
(732) 716-1900
Mailing address
1749 ROLLING RIDGE LN, TOMS RIVER, NJ 08755-1005
(732) 716-1000
(732) 716-1900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA66534
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7673400
—
NJ
Enumeration date
08/31/2009
Last updated
08/31/2009
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