| Organization Name: | MONMOUTH MEDICAL CENTER |
| NPI Number: | 1134268683 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHIRLEY HWANG (ADMINISTRATIVE DIRECTOR) |
| Mailing Address: | 300 2nd Ave Long Branch |
| State: | NJ US |
| Postal Code: | 077406303 |
| Phone Number: | 7329236635 |
| Fax Number: | 7329237724 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00077600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |