Organization · Type 2 NPI

Brigantine Medical Group PA

Adult Medicine Physician · Brigantine, NJ

NPI number 1669462735 Active

Practice location

353 12th St S
Brigantine, NJ 08203-2211

Fax (609) 266-4450

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

Another provider at this address

About NPI 1669462735

Brigantine Medical Group PA's National Provider Identifier is 1669462735, issued on Oct 28, 2005. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Brigantine, NJ. The record was last updated on Jul 21, 2022.