Provider Demographics
NPI:1154493336
Name:MEDICAL MONITORING
Entity Type:Organization
Organization Name:MEDICAL MONITORING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SEROTTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-585-4950
Mailing Address - Street 1:2131 RT 33
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-585-4900
Mailing Address - Fax:609-585-4902
Practice Address - Street 1:2131 RT 33
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-585-4900
Practice Address - Fax:609-585-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ071750RYDMedicaid