NPI | 1245523869 |
---|---|
Doing Business As | ATLANTIC MEDICAL GROUP |
Other Name | AMG ONCOLOGY PHYSICIAN DISPENSARY |
Former Legal Business Name | ADVANCED CARE ONCOLOGY AND HEMATOLOGY ASSOCIATES, LLC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ALOYCE HERZOG Chief Operating Officer 973-829-4320 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2011-05-17 |
Last Update Date | 2025-01-10 |