| NPI | 1205263431 |
|---|---|
| Doing Business As | NORTHERN MONMOUTH COUNTY MEDICAL ASSOCIATES-MATAWAN MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MB08392800) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2014-09-10 |