Organization
ATLANTIC OB GYN GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS V GREGORY MD (PRESIDENT)
(609) 927-3828
Entity
Organization
Contact information
Practice address
501 BAY AVE, SUITE 201, SOMERS POINT, NJ 08244-2553
(609) 927-3828
(609) 926-8067
Mailing address
201 ARBOR CT E, LINWOOD, NJ 08221-2152
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02700900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099329000
AMERIHEALTH
—
Enumeration date
09/24/2006
Last updated
08/22/2020
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