Organization
ATLANTIC SHORE FAMILY PRACTICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A. KADER D.O. (PRESIDENT)
(609) 272-1441
Entity
Organization
Contact information
Practice address
1423 TILTON RD, SUITE 3, NORTHFIELD, NJ 08225-1865
(609) 272-1441
(609) 272-8306
Mailing address
1423 TILTON RD, SUITE 3, NORTHFIELD, NJ 08225-1865
(609) 272-1441
(609) 272-8306
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MB53762
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4621905
—
NJ
Enumeration date
04/13/2010
Last updated
04/13/2010
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