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Organization
ATLANTIC FAMILY MEDICINE LLC
Active
Organization
ATLANTIC FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN R ONGSIAKO D.O. (SOLE MEMBER/OWNER)
(732) 505-9333
Entity
Organization
Contact information
Practice address
1228 ROUTE 37 W, SUITE 6, TOMS RIVER, NJ 08755-4811
(732) 505-9333
(732) 505-9980
Mailing address
1228 ROUTE 37 W, SUITE 6, TOMS RIVER, NJ 08755-4811
(732) 505-9333
(732) 505-9980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05884600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071830
MEDICARE ID
NJ
Enumeration date
10/02/2008
Last updated
06/02/2015
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