Atlanticare Physician Group PA
Non-Pharmacy Dispensing Site in Galloway, NJ. Organization (NPI-2).
NPI number1083000707
StatusActive
Last updated in NPPESApr 29, 2015
Details
- NPI
- 1083000707
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlanticare Physician Group PA
- Organization subpart
- Yes
- Enumeration date
- Apr 9, 2015
- Last updated
- Apr 29, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | 25MB05380400 | NJ | Yes |
Other names
- Atlanticare Urgent Care- Galloway Township (Doing Business As)
Practice location
110 E Jimmie Leeds RdGalloway, NJ 08205-9508
Phone 609-748-2100
Mailing address
5626 Oberlin DrSuite 110
San Diego, CA 92121-1705
Authorized official
Kenny Heine
Vp Of Operations
8589641506
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