Mmc Provider Services
Mmc Provider Services is a Critical Care Medicine (Anesthesiology) Physician in Long Branch, New Jersey. Works from 2 locations. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
300 2nd AveLong Branch, NJ 07740-6303
Phone: (732) 557-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 95 Old Short Hills Rd, West Orange, NJ 07052-1008 — (732) 423-7497
Specialties & licences
| Critical Care Medicine (Anesthesiology) Physician (primary) | Taxonomy 207LC0200X |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X |
Record details
| NPI number | 1932647872 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacqueline Mintz — Dir. Finance · (732) 423-7497 |
| NPI enumerated | February 10, 2017 |
| Last updated in NPPES | July 29, 2021 |
| Certification date | July 29, 2021 |
| Mailing address | 95 Old Short Hills Rd, West Orange, NJ 07052-1008 |