Atlanticare Physician Group PA
NPI #1255787404 in Little Egg Harbor Twp, New Jersey
Provider Information
- NPI Number
- 1255787404
- Entity Type
- Organization
- Organization Name
- Atlanticare Physician Group PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- May 6, 2016
- Last Updated
- May 6, 2016
Practice Location
- Address
- 459 ROUTE 9 S
- State
- New Jersey
- ZIP Code
- 08087-2225
- Phone
- (609) 407-2273
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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