Organization
ATLANTIC PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVKEKKUMAR V DASONDI MD (OWNER)
(609) 652-1115
Entity
Organization
Contact information
Practice address
72 W JIMMIE LEEDS RD, SUITE 2100, GALLOWAY, NJ 08205-9406
(609) 652-1115
(609) 652-1145
Mailing address
PO BOX 195, NORTHFIELD, NJ 08225-0195
(609) 926-6900
(609) 926-6995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08110600
NJ
Other
Enumeration date
07/03/2008
Last updated
12/04/2012
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