Organization
BRIGANTINE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MACKLEER (OFFICE MANAGER)
(609) 266-7557
Entity
Organization
Contact information
Practice address
353 12TH ST S, BRIGANTINE, NJ 08203-2211
(609) 266-7557
(609) 266-4450
Mailing address
353 12TH ST S, BRIGANTINE, NJ 08203-2211
(609) 266-7557
(609) 266-4450
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2618907-1
—
NJ
Enumeration date
10/28/2005
Last updated
07/21/2022
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