Atlantic Gynecologic On
NPI #1902804693 in Wall Township, New Jersey
Provider Information
- NPI Number
- 1902804693
- Entity Type
- Organization
- Organization Name
- Atlantic Gynecologic On
- Primary Specialty
- Obstetrics & Gynecology - Gynecologic Oncology
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Jan 9, 2008
Practice Location
- Address
- 3349 HWY 138
- Address 2
- BLDG B SUITE F
- City
- Wall Township
- State
- New Jersey
- ZIP Code
- 07719-9671
- Phone
- (732) 280-5464
Authorized Official
- Name
- MRS. LISA ANN MENDUM
- Title
- PRACTICE MANAGER
- Phone
- (732) 280-5464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
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