Organization
ATLANTICARE URGENT CARE PHYSICIANS LLC
Active
Parent organization
MEDVANTX, INC.
Other names
AtlantiCare Urgent Care Cross Keys
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
627 BERLIN CROSS KEYS RD, SICKLERVILLE, NJ 08081-9562
(856) 728-8700
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
25MB06865500
NJ
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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