Individual
DR. IAN ATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA58005
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0529325
AETNA PROVIDER ID
NJ
01
—
1363735
UNITED HEALTHCARE
NJ
01
—
1394680
CIGNA
NJ
01
—
340008601
RAILROAD MC PROVIDER#
NJ
01
—
IS151
OXFORD PROVIDER ID
NJ
01
—
J21209
HEALTHNET
NJ
Enumeration date
07/29/2005
Last updated
10/27/2011
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