Organization
ATLANTICARE PHYSICIAN GROUP PA
Active
Parent organization
MEDVANTX, INC.
Other names
AtlantiCare Urgent Care-Somers Point
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
SCOTT PETERSON (CFO)
(858) 625-2990
Entity
Organization
Contact information
Practice address
443 SHORE RD, SUITE 103, SOMERS POINT, NJ 08244-2642
(609) 569-7077
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB08578500
NJ
Other
Enumeration date
04/09/2015
Last updated
10/14/2016
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