Organization
ATLANTIC ENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DEGENNARO MD (PRESIDENT)
(732) 530-7799
Entity
Organization
Contact information
Practice address
370 STATE HIGHWAY 35, SUITE 100, RED BANK, NJ 07701
(732) 530-7799
(732) 530-9091
Mailing address
370 STATE HIGHWAY 35, SUITE 100, RED BANK, NJ 07701
(732) 530-7799
(732) 530-9091
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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