Organization
ATLANTIC EMERGENCY ASSOCIATES, PA - MAINLAND LOCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN WALSH (BUSINESS MANGER)
(215) 871-6562
Entity
Organization
Contact information
Practice address
JIMMIE LEEDS ROAD, POMONA, NJ 08240
(609) 652-1000
Mailing address
6896 W. SNOWVILLE RD, BRECKSVILLE, OH 44141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075141
—
NJ
01
—
1105322
AETNA
NJ
01
—
2639764000
AMERIHEALTH
NJ
01
—
30027297
KEYSTONE MERCY
NJ
01
—
36829
KEYSTONE MERCY
NJ
01
—
60018386
HORIZON NJ HEALTH
NJ
01
—
611602901
ENERGY
NJ
01
—
91001879601
AMERICHOICE
NJ
Enumeration date
10/05/2006
Last updated
07/16/2019
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