Eatontown Primary Care, LLC
Specialist in Eatontown, New Jersey
1902092281- Practice location
- 117 State Route 35, Eatontown, NJ 07724-1885
- Phone
- 732-542-4411
- Fax
- 732-542-1070
- Last updated
- January 25, 2011
Eatontown Primary Care, LLC is a healthcare organization 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 (NJ). The current practice location address for Eatontown Primary Care, LLC is 117 State Route 35, Eatontown, NJ 07724-1885 and can be reached out via phone at 732-542-4411 and via fax at 732-542-1070.
Provider Profile Details
- NPI Number
- 1902092281
- Provider Name
- Eatontown Primary Care, LLC
- Provider Entity Type
- Organization
- Address
- 117 State Route 35, Eatontown, NJ 07724-1885
- Phone Number
- 732-542-4411
- Fax Number
- 732-542-1070
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Manar H Hanna, MD · MD · 732-542-4411
- Provider Enumeration Date
- September 19, 2007
- Last Update Date
- January 25, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 117 State Route 35
Eatontown, NJ 07724-1885 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-1885
- Phone Number
- 732-542-4411
- Fax Number
- 732-542-1070
Provider Business Mailing Address Details
- Address
- 117 State Route 35
Eatontown, NJ 07724-1885 - City
- Eatontown
- State
- NJ
- Zip
- 07724-1885
License Information
- License Number
- 25MA07738500
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eatontown Primary Care, LLC?
The NPI number of Eatontown Primary Care, LLC is 1902092281. It was assigned on September 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Eatontown Primary Care, LLC?
Eatontown Primary Care, LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA07738500.
Where does Eatontown Primary Care, LLC practice?
The practice location is 117 State Route 35, Eatontown, NJ 07724-1885. The office can be reached at 732-542-4411 (phone) or 732-542-1070 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902092281 directly on the NPPES registry website.