# ATLANTIC INTEGRATED MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205251048
- **Authorized official:** DR. MARY N ONWUKA M.D. (OWNER)
- **Authorized official phone:** (609) 748-4199

## Contact information

- **Practice address:** 319 E. JIMMIE LEEDS ROAD, SUITE 603, GALLOWAY, NJ 08205-4124
- **Practice address phone:** (609) 748-4199
- **Practice address fax:** (609) 748-4112
- **Mailing address:** 319 EAST JIMMIE LEEDS ROAD, SUITE 603, GALLOWAY, NJ 08205-4124
- **Mailing address phone:** (609) 748-4199
- **Mailing address fax:** (609) 748-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 06/28/2016