OrganizationActive
Atlanticare Physician Group PA
NPI 1972957660 · Non-Pharmacy Dispensing Site · Clementon, NJ
Provider details
- NPI number
- 1972957660
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 25MA08229800 (NJ)
Specialties & taxonomies
Suppliers
Practice location
1310 Blackwood Clementon Rd
Clementon, NJ 08021-5610
Phone: (865) 783-1802
Approximate (ZIP-level) locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- Atlanticare Urgent Care - Clementon
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2016-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.