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Organization
ATLAS LIFESPAN, PC
Active
Organization
ATLAS LIFESPAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEP BHUPENDRA TRIVEDI MD (MEDICAL DIRECTOR)
(631) 291-1480
Entity
Organization
Contact information
Practice address
16 HARMONY LN, MONMOUTH JUNCTION, NJ 08852-2815
(631) 291-1480
(631) 291-1480
Mailing address
16 HARMONY LN, MONMOUTH JUNCTION, NJ 08852-2815
(631) 291-1480
(631) 291-1480
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
NULL
202D00000X
Integrative Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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