OrganizationActive
Atlanticare Physician Group PA
NPI 1073909792 · Non-Pharmacy Dispensing Site · Somers Point, NJ
Provider details
- NPI number
- 1073909792
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Authorized official
- Scott Peterson, Cfo
- License
- 25MB08578500 (NJ)
Practice location
443 Shore Rd
Suite 103
Somers Point, NJ 08244-2642
Phone: (609) 569-7077
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2016-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.