# ATLANTIC MEDICINE AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1881822161
- **Authorized official:** DR. MARTIN MANZO DC (MANAGING MEMBER)
- **Authorized official phone:** (732) 528-5533

## Contact information

- **Practice address:** 2399 ROUTE 34, BLDG. A, SUITE 5, MANASQUAN, NJ 08736-1500
- **Practice address phone:** (732) 528-5533
- **Practice address fax:** (732) 528-0360
- **Mailing address:** 2399 ROUTE 34, BLDG. A, SUITE 5, MANASQUAN, NJ 08736-1500
- **Mailing address phone:** (732) 528-5533
- **Mailing address fax:** (732) 528-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/25/2009
- **Last updated:** 08/23/2013