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Brigantine Medical Group Pa
Adult Medicine Physician in Brigantine, New Jersey
NPI 1669462735

Brigantine Medical Group Pa is an Adult Medicine Physician based in Brigantine, NJ and is specialized in Adult Medicine. Brigantine Medical Group Pa practices in Brigantine, NJ. The NPI Number for Brigantine Medical Group Pa is 1669462735 and holds a License No. (New Jersey).

The current practice location address for Brigantine Medical Group Pa is 353 12Th St S, Brigantine, NJ and can be reached out via phone at 609-266-7557 and via fax at 609-266-4450.

Location: 353 12Th St S, Brigantine, NJ, 08203-2211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669462735
Provider Name
Brigantine Medical Group Pa
Credential
Provider Entity Type
Organization
Address
353 12Th St S, Brigantine, NJ, 08203-2211
Phone Number
609-266-7557
Fax Number
609-266-4450
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2618907-1 05 NJ
institution
Provider Business Practice Location Address Details
Address
353 12Th St S
City
Brigantine
State
New Jersey
Zip
08203-2211
Phone Number
609-266-7557
Fax Number
609-266-4450
person
Provider Business Mailing Address Details
Address
353 12Th St S
City
Brigantine
State
New Jersey
Zip
08203-2211
Phone Number
609-266-7557
Fax Number
609-266-4450
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
(New Jersey)
Definition
Definition to come.
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