Monica Azer

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Milltown, NJ

NPI 1528458643 · NPPES record last updated Jan 27, 2015

Key facts

NPI
1528458643
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
28RW01693900 (NJ)
Practice address
141 S Moetz Dr
Milltown, NJ 08850-1346
Phone
(732) 589-1482
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28RW01693900NJMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 28RW01693900 NJ Yes

Addresses

Primary practice location

141 S Moetz Dr
Milltown, NJ 08850-1346

Mailing address

141 S Moetz Dr
Milltown, NJ 08850-1346
Phone (732) 589-1482

Other providers in Milltown, NJ

All providers in Milltown, NJ · Student in an Organized Health Care Education/Training Program in New Jersey

Sources for this page

Verify at the official NPI Registry.