OrganizationActive
Atlantic Age Management
NPI 1932507183 · Adult Medicine Physician · Forked River, NJ
Provider details
- NPI number
- 1932507183
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Trim, President(609) 489-4648
- License
- MA 51879 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
34 Manchester Ave
Forked River, NJ 08731-1366
Phone: (609) 489-4648
Approximate (ZIP-level) locationGet directions
Mailing address
34 Manchester Ave
Forked River, NJ 08731-1366
Registry dates
- Enumerated
- 2014-12-19
- Last updated
- 2014-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.