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Eatontown Primary Care, Llc
Specialist in Eatontown, New Jersey
NPI 1902092281

Eatontown Primary Care, Llc is a Specialist based in Eatontown, NJ. Eatontown Primary Care, Llc practices in Eatontown, NJ. The NPI Number for Eatontown Primary Care, Llc is 1902092281 and holds a License No. 25MA07738500 (New Jersey).

The current practice location address for Eatontown Primary Care, Llc is 117 State Route 35, Eatontown, NJ and can be reached out via phone at 732-542-4411 and via fax at 732-542-1070.

Location: 117 State Route 35, Eatontown, NJ, 07724-1885
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902092281
Provider Name
Eatontown Primary Care, Llc
Credential
Provider Entity Type
Organization
Address
117 State Route 35, Eatontown, NJ, 07724-1885
Phone Number
732-542-4411
Fax Number
732-542-1070
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
099326 01 NJ MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
117 State Route 35
City
Eatontown
State
New Jersey
Zip
07724-1885
Phone Number
732-542-4411
Fax Number
732-542-1070
person
Provider Business Mailing Address Details
Address
117 State Route 35
City
Eatontown
State
New Jersey
Zip
07724-1885
Phone Number
732-542-4411
Fax Number
732-542-1070
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA07738500 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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