| Headache & Neurological Care Center Of New Jersey | |
|
2 Paragon Way Suite 400 Freehold NJ 07728-7897 | |
| (732) 431-4323 | |
| (732) 431-4435 |
| Full Name | Headache & Neurological Care Center Of New Jersey |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2 Paragon Way, Freehold, New Jersey |
| Authorized Official Name and Position | Monte B Pellmar (OWNER) |
| Authorized Official Contact | 7324314323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headache & Neurological Care Center Of New Jersey 2 Paragon Way Suite 400 Freehold NJ 07728-7897 Ph: (732) 431-4323 | Headache & Neurological Care Center Of New Jersey 2 Paragon Way Suite 400 Freehold NJ 07728-7897 Ph: (732) 431-4323 |
| NPI Number | 1194904714 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 02/23/2009 |
| Medicare PECOS PAC ID | 2860442506 |
|---|---|
| Medicare Enrollment ID | O20050131000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194904714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA03139300 (New Jersey) | Primary |
| Provider Name | Monte B Pellmar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700940954 PECOS PAC ID: 4587613963 Enrollment ID: I20050113000196 |
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