Provider Demographics
NPI:1972735868
Name:ALBERT R. ORATIO DBA MONMOUTH CENTER FOR COMMUNICATION DISORDERS LLC
Entity type:Organization
Organization Name:ALBERT R. ORATIO DBA MONMOUTH CENTER FOR COMMUNICATION DISORDERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORATIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:732-933-1600
Mailing Address - Street 1:565 HWY 35
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5047
Mailing Address - Country:US
Mailing Address - Phone:732-933-1600
Mailing Address - Fax:732-933-1600
Practice Address - Street 1:565 HWY 35
Practice Address - Street 2:SUITE 6
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5047
Practice Address - Country:US
Practice Address - Phone:732-933-1600
Practice Address - Fax:732-933-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00075200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty