Organization
ATLANTIC EXPRESS CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J CARRIE (CEO)
(619) 829-1271
Entity
Organization
Contact information
Practice address
4252 BONITA RD, SUITE 82, BONITA, CA 91902-1420
(619) 829-1271
Mailing address
4252 BONITA RD, SUITE 82, BONITA, CA 91902-1420
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A33408
CA
Other
Enumeration date
07/30/2009
Last updated
10/14/2009
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