Atlanticare Physician Group PA

NPI #1922490721 in Egg Harbor Township, New Jersey

Provider Information

NPI Number
1922490721
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
Mar 3, 2015
Last Updated
Mar 3, 2015

Practice Location

Address
2500 ENGLISH CREEK AVE
Address 2
BLDG 900 SUITE 909
ZIP Code
08234-5549
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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