PROVIDENTIAL MEDICAL CENTER PC

RED BANK, NJ
NPI1487840203
Entity TypeOrganization
Authorized ContactDAVID HYPPOLITE
Owner
732-747-6600
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NJ  MA61338)
Enumeration Date2007-09-16
Last Update Date2011-02-14
Business Address
PROVIDENTIAL MEDICAL CENTER PC
66 BRIDGE AVE # C
RED BANK, NJ 07701-6410
Phone number: 732-747-6600
Mailing Address
PROVIDENTIAL MEDICAL CENTER PC
66 BRIDGE AVE # C
RED BANK, NJ 07701-6410
Phone number: