Organization
ATLANTIC HEALTH SOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GRAY (PRESIDENT)
(973) 400-5582
Entity
Organization
Contact information
Practice address
313 STATE ST UNIT 513, PERTH AMBOY, NJ 08861-4128
(973) 400-5582
Mailing address
313 STATE ST UNIT 513, PERTH AMBOY, NJ 08861-4128
(973) 400-5582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
04/20/2026
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