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ATLANTIC ONCOLOGY ASSOCIATES LLC NPI 1003249087


NPI Information

NPI: 1003249087
Provider Name: ATLANTIC ONCOLOGY ASSOCIATES, LLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 31D0972314

Address:
54 W JIMMIE LEEDS RD
SUITE 11
GALLOWAY, NJ
ZIP 08205
Phone: (609) 404-9966
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ATLANTIC ONCOLOGY ASSOCIATES, LLC is a hematology and oncology internal medicine in Galloway, NJ. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ATLANTIC ONCOLOGY ASSOCIATES, LLC NPI is 1003249087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

54 W JIMMIE LEEDS RD
SUITE 11
GALLOWAY, NJ
ZIP 08205-438
Phone: (609) 404-9966
Fax: (609) 404-9967

The provider's authorized official is Nasser Borai .
The authorized official title is Member and has the following contact phone number (609) 404-9966.

The CLIA number assigned to this NPI record is 31D0972314 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/14/2013 and was last updated on 8/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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