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Atlanticare Physician Group PA — NPI 1255787404, Little Egg Harbor Twp, NJ | NPI Central

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NPI 1255787404

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Atlanticare Physician Group PA

NPI 1255787404 · Non-Pharmacy Dispensing Site · Little Egg Harbor Twp, NJ

Provider details

NPI number: 1255787404
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Authorized official: Kenny Heine, Vp of Operations
License: 25MA05773200 (NJ)

Practice location

459 Route 9 S

Little Egg Harbor Twp, NJ 08087-2225

Phone: (609) 407-2273

More NJ providers

Mailing address

9276 Scranton Rd

San Diego, CA 92121-7701

Registry dates

Enumerated: 2016-05-06
Last updated: 2016-05-06

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