# ATLANTIC SHORE FAMILY PRACTICE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417273616
- **Authorized official:** RICHARD A. KADER D.O. (PRESIDENT)
- **Authorized official phone:** (609) 272-1441

## Contact information

- **Practice address:** 1423 TILTON RD, SUITE 3, NORTHFIELD, NJ 08225-1865
- **Practice address phone:** (609) 272-1441
- **Practice address fax:** (609) 272-8306
- **Mailing address:** 1423 TILTON RD, SUITE 3, NORTHFIELD, NJ 08225-1865
- **Mailing address phone:** (609) 272-1441
- **Mailing address fax:** (609) 272-8306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MB53762 | NJ | Yes |

## Other

- **Enumeration date:** 04/13/2010
- **Last updated:** 04/13/2010