Healthcare Provider Details

I. General information

NPI: 1336157668
Provider Name (Legal Business Name): ATLANTICARE HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 ATLANTIC AVE SUITE 2200
ATLANTIC CITY NJ
08401-7022
US

IV. Provider business mailing address

2500 ENGLISH CREEK AVE BUILDING B
EGG HARBOR TWP NJ
08234-5549
US

V. Phone/Fax

Practice location:
  • Phone: 609-441-8083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD J PARKER
Title or Position: PRESIDENT/CEO
Credential: MSW
Phone: 609-272-6393