| Atlantic Age Management | |
|
34 Manchester Ave Forked River NJ 08731-1366 | |
| (609) 489-4648 | |
| Not Available |
| Full Name | Atlantic Age Management |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 34 Manchester Ave, Forked River, New Jersey |
| Authorized Official Name and Position | George Trim (PRESIDENT) |
| Authorized Official Contact | 6094894648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Age Management 34 Manchester Ave Forked River NJ 08731-1366 Ph: (609) 489-4648 | Atlantic Age Management 34 Manchester Ave Forked River NJ 08731-1366 Ph: (609) 489-4648 |
| NPI Number | 1932507183 |
|---|---|
| Provider Enumeration Date | 12/19/2014 |
| Last Update Date | 12/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932507183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MA 51879 (New Jersey) | Primary |
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