Organization
INLET MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KUPONIYI (OWNER)
(609) 559-0070
Entity
Organization
Contact information
Practice address
16 S RHODE ISLAND AVE, ATLANTIC CITY, NJ 08401-7759
(609) 559-0070
Mailing address
199 NEW RD STE 61-398, LINWOOD, NJ 08221-2025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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