Organization · Type 2 NPI
Atlantic Gynecologic On
Gynecologic Oncology Physician · Wall Township, NJ
NPI number
1902804693
Active
Practice location
3349 Hwy 138, Bldg B Suite F
Wall Township, NJ 07719-9671
Fax (732) 280-5443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecologic Oncology Physician Primary | 207VX0201X | MB48253 (NJ) |
Gynecologic Oncology Physician: 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.
6 other providers at this address
- Danielle CarlsonSpeech-Language Pathologist Wall Township, NJ NPI 1952025066
- Leslie Old, O.T.Occupational Therapist Wall Township, NJ NPI 1508273897
- Phyllis R. Penkethman, M.S., CCC-SLPSpeech-Language Pathologist Wall Township, NJ NPI 1083493381
- Sarah GowenSpeech-Language Pathologist Wall Township, NJ NPI 1194477273
- Thomas Everett Hackett, DOGynecologic Oncology Physician Wall Township, NJ NPI 1619069424
- Tricia Weckenman, MS CCC-SLPSpeech-Language Pathologist Wall Township, NJ NPI 1043907603
About NPI 1902804693
Atlantic Gynecologic On's National Provider Identifier is 1902804693, issued on Jul 7, 2005. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Wall Township, NJ. The record was last updated on Jan 9, 2008.