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Organization

NEPTUNE ADULT MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY ATIENZA MD (PHYSICIAN)
(732) 988-3336
Entity
Organization

Contact information

Practice address
1812 CORLIES AVENUE, NEPTUNE, NJ 07753
(732) 988-3336
(732) 776-8668
Mailing address
1812 CORLIES AVENUE, NEPTUNE, NJ 07753
(732) 988-3336
(732) 776-8668

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA079626
NJ
261QP2300X
Primary Care Clinic/Center
MA079626
NJ

Other

Enumeration date
08/14/2008
Last updated
03/19/2009
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