Atlantic Gynecologic On

LBN: Atlantic Gynecologic On
Atlantic Gynecologic On is an health care organization with primary practice located at 3349 Hwy 138 Bldg B Suite F, Wall Township NJ 07719-9671. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as the primary health care specialty. Atlantic Gynecologic On can be contacted via phone (732) 280-5464, or through Mendum, Lisa Ann via phone (732) 280-5464.

Contact Information

Primary practice address
3349 Hwy 138 Bldg B Suite F Wall Township NJ 07719-9671
Phone: (732) 280-5464
Fax: (732) 280-5443
Website:
Map and Directions
Authorized official contact:
Name: Mendum, Lisa Ann
Phone: (732) 280-5464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MB48253 New Jersey

Profile Details

NPI number 1902804693
LBN Legal business name Atlantic Gynecologic On
DBA Doing business as
Authorized official Mendum, Lisa Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902804693 NPPES
New Jersey MEDICAID 6734502
New Jersey Other CG6895

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