Provider Demographics
NPI:1750933909
Name:ATLANTIC MEDICAL PHYSICIANS LLC
Entity type:Organization
Organization Name:ATLANTIC MEDICAL PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-988-6300
Mailing Address - Street 1:1500 ALLAIRE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-7603
Mailing Address - Country:US
Mailing Address - Phone:732-508-2900
Mailing Address - Fax:732-508-2901
Practice Address - Street 1:1500 ALLAIRE AVE STE 103
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-7603
Practice Address - Country:US
Practice Address - Phone:732-988-6300
Practice Address - Fax:732-988-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty