Provider Demographics
NPI:1235170770
Name:FRED NORMAN LLC
Entity Type:Organization
Organization Name:FRED NORMAN LLC
Other - Org Name:DHS MONITORING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDHECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-933-3347
Mailing Address - Street 1:26 PINE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:732-905-8555
Mailing Address - Fax:732-901-3375
Practice Address - Street 1:3600 BOUNDBROOK AVE
Practice Address - Street 2:
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6279
Practice Address - Country:US
Practice Address - Phone:215-364-3600
Practice Address - Fax:215-364-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ081596Medicare ID - Type Unspecified