Organization · Type 2 NPI

Atlanticare Physician Group PA

Non-Pharmacy Dispensing Site · Galloway, NJ

NPI number 1083000707 Active

Practice location

110 E Jimmie Leeds Rd
Galloway, NJ 08205-9508

Call (609) 748-2100 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	25MB05380400 (NJ)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4 other providers at this address

Other non-pharmacy dispensing site providers in Galloway

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NPI record

NPI: 1083000707
Entity type: Organization (Type 2)
Issued: Apr 9, 2015
Last updated: Apr 29, 2015
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Atlanticare Urgent Care- Galloway Township · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083000707

Atlanticare Physician Group PA's National Provider Identifier is 1083000707, issued on Apr 9, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Galloway, NJ. The record was last updated on Apr 29, 2015.