Organization
ATLANTIC CENTER FOR AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAK RAHMAN (ADMINISTRATOR)
(848) 466-6011
Entity
Organization
Contact information
Practice address
1205 STATE ROUTE 35, OCEAN, NJ 07712-4077
(848) 466-6011
Mailing address
PO BOX 95, OAKHURST, NJ 07755-0000
(848) 466-6011
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
01/05/2010
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