Organization
NEPTUNE PEDIATRICS 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 AVE, NEPTUNE, NJ 07753-4802
(732) 988-3336
(732) 776-8668
Mailing address
1812 CORLIES AVE, NEPTUNE, NJ 07753-4802
(732) 988-3336
(732) 776-8668
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MB66764
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7952601
—
NJ
Enumeration date
02/19/2009
Last updated
02/19/2009
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