Organization · Type 2 NPI
Providential Medical Center PC
Specialist · Red Bank, NJ
NPI number
1487840203
Active
Practice location
66 Bridge Ave # C
Red Bank, NJ 07701-6410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA61338 (NJ) |
Specialist: 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.
Other specialist providers in Red Bank
About NPI 1487840203
Providential Medical Center PC's National Provider Identifier is 1487840203, issued on Sep 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Red Bank, NJ. The record was last updated on Feb 14, 2011.