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Organization

ATLANTICARE PHYSICIAN GROUP, PC

Active
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Organization

ATLANTICARE PHYSICIAN GROUP, PC

Active
Other names
Pavilion OB/GYN
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARILOUISE VENDITTI MD (PRESIDENT)
(609) 441-8099
Entity
Organization

Contact information

Practice address
2500 ENGLISH CREEK AVE, SUITE 214, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 677-7211
(609) 677-7210
Mailing address
2500 ENGLISH CREEK AVE, SUITE 214, EGG HARBOR TOWNSHIP, NJ 08234-5549
(609) 677-7211
(609) 677-7210

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
09/18/2008
Last updated
09/18/2008
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