Atlantic Ent Group Llc in Red Bank - Plastic Surgery Within The Head & Neck

Atlantic Ent Group Llc - NPI 1629294079

Atlantic Ent Group Llc is a Plastic Surgery Within The Head & Neck in Red Bank, New Jersey. Atlantic Ent Group Llc practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Atlantic Ent Group Llc is 1629294079. The last update date is 2020-08-22.

Atlantic Ent Group Llc's current location address is 370 State Highway 35, Red Bank, New Jersey. You can contact this provider via phone number 7325307799 and fax number 7325309091. The mailing address for Atlantic Ent Group Llc is 370 State Highway 35, Red Bank, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Atlantic Ent Group Llc
Address 370 State Highway 35, Red Bank, New Jersey
Phone Number 7325307799
Fax Number 7325309091
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Degennaro Anthony
Credentials MD
Telephone Number 7325307799

NPI Number Detail

NPI Number 1629294079
Provider Enumeration Date 2007-04-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 370 State Highway 35
City Red Bank
State New Jersey (NJ)
Post Code 7701
Phone Number 7325307799
Fax Number 7325309091

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head & Neck
Taxonomy 207Yx0007X
Definition:
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu

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FAQs about Atlantic Ent Group Llc

What is the unique 10-digit identifier code assigned to Atlantic Ent Group Llc by the Centers for Medicare & Medicaid Services?

The Atlantic Ent Group Llc has been issued the NPI (National Provider Identifier) 1629294079 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Atlantic Ent Group Llc's facilities are situated?

The facilities of Atlantic Ent Group Llc are physically located at the following address: 370 State Highway 35, Red Bank, NJ, 7701.

What is Atlantic Ent Group Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Atlantic Ent Group Llc is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy classification code for this specialized field is 207Yx0007X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629294079 to Atlantic Ent Group Llc?

The Centers for Medicare & Medicaid Services originally issued the 1629294079 to Atlantic Ent Group Llc on 2007-04-17.

When was the information regarding Atlantic Ent Group Llc most recently updated?

The details pertaining to the Atlantic Ent Group Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.

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