# ATLANTIC INTERNAL MEDICINE ASSOCIATES.PA

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

## Provider details

- **NPI number:** 1275670986
- **Authorized official:** MRS. ELLEN DORIS LARRABEE (OFFICE MANAGER)
- **Authorized official phone:** (609) 652-9933

## Contact information

- **Practice address:** 310 CHRIS GAUPP DR, SUITE 102, GALLOWAY, NJ 08205-4461
- **Practice address phone:** (609) 652-9933
- **Practice address fax:** (609) 652-9955
- **Mailing address:** 310 CHRIS GAUPP DR, SUITE 102, GALLOWAY, NJ 08205-4461
- **Mailing address phone:** (609) 652-9933
- **Mailing address fax:** (609) 652-9955

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 10/12/2010
