Atlanticare Physician Group PA

NPI #1891141057 in Hammonton, New Jersey

Provider Information

NPI Number
1891141057
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
120 S WHITE HORSE PIKE
ZIP Code
08037-1804
Phone
(609) 567-2573

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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