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Specialty details in registry · West Long Branch, NJ

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At a glance

20 S Arlene Dr, West Long Branch, NJ 07764-1154

NPPES record updated Jun 21, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

20 S Arlene Dr
West Long Branch, NJ 07764-1154
Professional details: NPI, taxonomy & registry record
NPI1629753058
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
225000000X
Enumeration date
Jun 21, 2023
Record updated
Jun 21, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

225000000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

20 S Arlene Dr
West Long Branch, NJ 07764-1154
Phone
(732) 801-5743
Mailing address
20 S ARLENE DR

WEST LONG BRANCH, NJ 077641154
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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