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NPI 1083000707

OrganizationActive

Atlanticare Physician Group PA

NPI 1083000707 · Non-Pharmacy Dispensing Site · Galloway, NJ

Provider details

NPI number: 1083000707
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Authorized official: Kenny Heine, Vp of Operations
License: 25MB05380400 (NJ)

Practice location

110 E Jimmie Leeds Rd

Galloway, NJ 08205-9508

Phone: (609) 748-2100

More NJ providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Registry dates

Enumerated: 2015-04-09
Last updated: 2015-04-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Atlanticare Physician Group PA — NPI 1083000707, Galloway, NJ | NPI Central