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General NPI Number Information
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NPI Number | 1245262757
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Entity Type | Organization
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Legal Business Name | ATLANTICARE REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 02/18/2008
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Provider Practice Location Address
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Address Line | 1925 PACIFIC AVE
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City | ATLANTIC CITY
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State | NJ
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Zip | 08401-6713
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Country | US
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Telephone | 609-344-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 65 W JIMMIE LEEDS RD
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City | POMONA
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State | NJ
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Zip | 08240-9102
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Country | US
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Telephone | 609-652-1000
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Fax |
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Authorized Official
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Title or Position | VP FINANCE & CHIEF FINANCIAL OFFICE
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Name | MR. WALTER GREINER
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Credential |
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Telephone | 609-272-2434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 10102
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License Number State | NJ
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