MEDICARE: ATLANTIC PHYSICIAN SERVICES OF MARYLAND, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner
2	363A00000X	Physician Assistant

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W7Z571	OTHER	NY	NY EMPIRE MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730129594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PHYSICIAN SERVICES OF MARYLAND, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 634994
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-5023
Country	:	US
Telephone Number	:	856-686-4316
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N CLAYTON ST.
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-0000
Country	:	US
Telephone Number	:	856-686-4316
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JAMES J FLOWERS
Credential	:	D.O.
Telephone Number	:	856-848-3817

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	12/02/2015

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Directions to “ATLANTIC PHYSICIAN SERVICES OF MARYLAND, P.C. ” Practice Location

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