Organization
ATLANTICARE URGENT CARE PHYSICIANS LLC
Active
Parent organization
MEDVANTX,INC.
Other names
AtlantiCare Urgent Care Mount Laurel
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX,INC.
Authorized official
ROBIN G DESHIELDS (PROFESSIONAL REV CYCLE BUS PARTNER)
(609) 272-6860
Entity
Organization
Contact information
Practice address
3131 ROUTE 38, MOUNT LAUREL, NJ 08054-9757
(609) 569-7040
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB06977500
NJ
Other
Enumeration date
02/19/2015
Last updated
12/15/2020
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