Provider Demographics
NPI:1114158516
Name:MONMOUTH DIAGNOSTICS, P.C.
Entity Type:Organization
Organization Name:MONMOUTH DIAGNOSTICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:SCHNAPPAUF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-536-8700
Mailing Address - Street 1:345 UNION HILL RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1875
Mailing Address - Country:US
Mailing Address - Phone:732-536-8700
Mailing Address - Fax:732-536-0448
Practice Address - Street 1:345 UNION HILL RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1875
Practice Address - Country:US
Practice Address - Phone:732-536-8700
Practice Address - Fax:732-536-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ114582010246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty