| Greater Monmouth Neurology Pc | |
|
130 Maple Ave Suite 1a Red Bank NJ 07701-1734 | |
| (732) 741-1378 | |
| (732) 741-1677 |
| Full Name | Greater Monmouth Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 130 Maple Ave, Red Bank, New Jersey |
| Authorized Official Name and Position | Schuber C Fan (PRESIDENT) |
| Authorized Official Contact | 7327411378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Monmouth Neurology Pc 130 Maple Ave Suite 1a Red Bank NJ 07701-1734 Ph: (732) 741-1378 | Greater Monmouth Neurology Pc 130 Maple Ave Suite 1a Red Bank NJ 07701-1734 Ph: (732) 741-1378 |
| NPI Number | 1649351594 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 03/06/2013 |
| Medicare PECOS PAC ID | 0749353241 |
|---|---|
| Medicare Enrollment ID | O20080716000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649351594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA02773400 (New Jersey) | Primary |
| Provider Name | Schuber Fan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245205376 PECOS PAC ID: 6709959208 Enrollment ID: I20100426000066 |
| Provider Name | Edgar Y Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871569616 PECOS PAC ID: 0547333783 Enrollment ID: I20100510000631 |
| Provider Name | Philip Ilaria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235105081 PECOS PAC ID: 7618040114 Enrollment ID: I20100510000653 |
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