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Atlantic Gynecologic On
Gynecologic Oncology Physician in Wall Township, New Jersey
NPI 1902804693

Atlantic Gynecologic On is a Gynecologic Oncology Physician based in Wall Township, NJ and is specialized in Gynecologic Oncology. Atlantic Gynecologic On practices in Wall Township, NJ. The NPI Number for Atlantic Gynecologic On is 1902804693 and holds a License No. MB48253 (New Jersey).

The current practice location address for Atlantic Gynecologic On is 3349 Hwy 138, Wall Township, NJ and can be reached out via phone at 732-280-5464 and via fax at 732-280-5443.

Location: 3349 Hwy 138, Wall Township, NJ, 07719-9671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902804693
Provider Name
Atlantic Gynecologic On
Credential
Provider Entity Type
Organization
Address
3349 Hwy 138, Wall Township, NJ, 07719-9671
Phone Number
732-280-5464
Fax Number
732-280-5443
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6734502 05 NJ
CG6895 01 NJ RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3349 Hwy 138
City
Wall Township
State
New Jersey
Zip
07719-9671
Phone Number
732-280-5464
Fax Number
732-280-5443
person
Provider Business Mailing Address Details
Address
3349 Hwy 138
City
Wall Township
State
New Jersey
Zip
07719-9671
Phone Number
732-280-5464
Fax Number
732-280-5443
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
MB48253 (New Jersey)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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