# ATLANTICARE PHYSICIAN GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDVANTX, INC.
- **Other names:** AtlantiCare Urgent Care-Somers Point
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073909792
- **Legal business name:** MEDVANTX, INC.
- **Authorized official:** SCOTT PETERSON (CFO)
- **Authorized official phone:** (858) 625-2990

## Contact information

- **Practice address:** 443 SHORE RD, SUITE 103, SOMERS POINT, NJ 08244-2642
- **Practice address phone:** (609) 569-7077
- **Mailing address:** 9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MB08578500 | NJ | Yes |

## Other

- **Enumeration date:** 04/09/2015
- **Last updated:** 10/14/2016