# BRIGANTINE MEDICAL GROUP PA

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

## Provider details

- **NPI number:** 1669462735
- **Authorized official:** MRS. BARBARA MACKLEER (OFFICE MANAGER)
- **Authorized official phone:** (609) 266-7557

## Contact information

- **Practice address:** 353 12TH ST S, BRIGANTINE, NJ 08203-2211
- **Practice address phone:** (609) 266-7557
- **Practice address fax:** (609) 266-4450
- **Mailing address:** 353 12TH ST S, BRIGANTINE, NJ 08203-2211
- **Mailing address phone:** (609) 266-7557
- **Mailing address fax:** (609) 266-4450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 10/28/2005
- **Last updated:** 07/21/2022