Atlantic Family Medicine LLC
Family Medicine in Toms River, NJ. Organization (NPI-2).
NPI number1639320153
StatusActive
Last updated in NPPESJun 2, 2015
Details
- NPI
- 1639320153
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Family Medicine LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2008
- Last updated
- Jun 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05884600 | NJ | Yes |
Practice location
1228 Route 37 WSuite 6
Toms River, NJ 08755-4811
Phone 732-505-9333 · Fax 732-505-9980
Mailing address
1228 Route 37 WSuite 6
Toms River, NJ 08755-4811
Phone 732-505-9333 · Fax 732-505-9980
Authorized official
Allen R Ongsiako
Sole Member/Owner
7325059333
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