Provider Demographics
NPI:1467813816
Name:PRECISION MONITORING GROUP
Entity Type:Organization
Organization Name:PRECISION MONITORING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DC,DAAPM, DIACN
Authorized Official - Phone:973-865-4866
Mailing Address - Street 1:576 VALLEY BROOK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07071-1934
Mailing Address - Country:US
Mailing Address - Phone:973-925-1881
Mailing Address - Fax:973-925-1884
Practice Address - Street 1:576 VALLEY BROOK AVE STE 2
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-1934
Practice Address - Country:US
Practice Address - Phone:973-925-1881
Practice Address - Fax:973-925-1884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty