Organization
ATLANTICARE
Active
Parent organization
ATLANTICARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTICARE
Authorized official
NAMITA GUPTA M.D. (PHYSICIAN)
(267) 207-0237
Entity
Organization
Contact information
Practice address
1201 NEW RD STE 120, LINWOOD, NJ 08221-1152
(609) 927-7070
(609) 927-7105
Mailing address
1201 NEW RD STE 120, LINWOOD, NJ 08221-1152
(609) 927-7070
(609) 927-7105
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA09472900
NJ
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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