OrganizationActive
Atlanticare Physician Group PA
NPI 1922490721 · Non-Pharmacy Dispensing Site · Egg Harbor Township, NJ
Provider details
- NPI number
- 1922490721
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc,
- Authorized official
- Kenny Heine, Vp of Operations
- License
- 25MA04005400 (NJ)
Practice location
2500 English Creek Ave
Bldg 900 Suite 909
Egg Harbor Township, NJ 08234-5549
Phone: (609) 407-2273
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2015-03-03
- Last updated
- 2015-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.