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Organization

ATLANTIC IMAGING SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS GIBBENS MD (OWNER)
(999) 999-9999
Entity
Organization

Contact information

Practice address
4 SYCAMORE LN, RUMSON, NJ 07760-1035
(999) 999-9999
Mailing address
4 SYCAMORE LN, RUMSON, NJ 07760-1035

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
25MA06225500
NJ

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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