Provider Demographics
NPI:1720250806
Name:MONMOUTH HYPERBARIC ASSOCIATES LLC
Entity Type:Organization
Organization Name:MONMOUTH HYPERBARIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHRINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-692-9715
Mailing Address - Street 1:PO BOX 611
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07762
Mailing Address - Country:US
Mailing Address - Phone:908-692-9715
Mailing Address - Fax:
Practice Address - Street 1:MONMOUTH MEDICAL CENTER
Practice Address - Street 2:300 SECOND AVENUE
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6303
Practice Address - Country:US
Practice Address - Phone:732-923-6071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207P00000X
NJ207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty