| Organization Name: | MONMOUTH FAMILY HEALTH CENTER, INC |
| NPI Number: | 1073558391 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREA DUNCAN (DIRECTOR, FINANCE) |
| Mailing Address: | 270 Broadway Long Branch |
| State: | NJ US |
| Postal Code: | 077407027 |
| Phone Number: | 7329237100 |
| Fax Number: | 7329237104 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 01/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 23104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |