Atlantic Gynecologic On
Atlantic Gynecologic On is a Gynecologic Oncology Physician in Wall Township, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.
- Licensed in
- NJ
- In the registry since
- 2005
Practice location Address checks out
3349 Hwy 138 Bldg B Ste FWall Township, NJ 07719-9671
Phone: (732) 280-5464
Fax: (732) 280-5443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gynecologic Oncology Physician (primary) | Taxonomy 207VX0201X · Licence MB48253 (NJ) |
|---|
Record details
| NPI number | 1902804693 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Mendum — Practice Manager · (732) 280-5464 |
| NPI enumerated | July 7, 2005 |
| Last updated in NPPES | January 9, 2008 |
| Mailing address | 3349 Hwy 138, Bldg B Suite F, Wall Township, NJ 07719-9671 |