Organization Name: | ATLANTICARE PHYSICIAN GROUP, PA |
NPI Number: | 1982013736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER LITTLE (DIRECTOR OF FINANCE) |
Mailing Address: | 459 Route 9 S Little Egg Harbor Twp |
State: | NJ US |
Postal Code: | 080872225 |
Phone Number: | 6094072273 |
Fax Number: | 6092965735 |
NPI Enumeration Date: | 08/06/2014 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |