OrganizationActive
Atlantic Gynecologic on
NPI 1902804693 · Gynecologic Oncology Physician · Wall Township, NJ
Provider details
- NPI number
- 1902804693
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lisa Mendum, Practice Manager
- License
- MB48253 (NJ)
Practice location
3349 Hwy 138
Bldg B Suite F
Wall Township, NJ 07719-9671
Phone: (732) 280-5464
Fax: (732) 280-5443
Mailing address
3349 Hwy 138
Wall Township, NJ 07719-9671
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2008-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.