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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENTIAL MEDICAL CENTER PC

Active Organization

PROVIDENTIAL MEDICAL CENTER PC is a Specialist organization located in RED BANK, New Jersey. NPI 1487840203 is currently active in the NPPES registry. Verify at CMS.

Specialist · RED BANK, NJ

Registration Details

NPI Number
1487840203
Provider Type
Organization
NPI Issued
Sep 16, 2007 (18.930921204304 yrs)
Last Updated
Feb 14, 2011
License
MA61338 (NJ)

Practice Information

Address
66 BRIDGE AVE # C
RED BANK, NJ, 077016410
Browse NJ providers · Browse ZIP 07701
Phone
7327476600
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.