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NPI Code Detail

MEDICARE: ATLANTIC PROFESSIONAL SERVICES OF NEW JERSEY, P.A.

MEDICARE: ATLANTIC PROFESSIONAL SERVICES OF NEW JERSEY, P.A.
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
1363L00000XNurse Practitioner
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1932145182
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLANTIC PROFESSIONAL SERVICES OF NEW JERSEY, P.A.
Provider Business Mailing Address
First Line : PO BOX 635023
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 18 LAUREL RD E
Second Line :
City : STRATFORD
State : NJ
Zip : 08084-1327
Country : US
Telephone Number : 856-346-6000
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. JAMES J FLOWERS
Credential : D.O.
Telephone Number : 856-848-3817
Provider Enumeration Date : 06/22/2006
Last Update Date : 01/30/2008

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Directions to “ATLANTIC PROFESSIONAL SERVICES OF NEW JERSEY, P.A. ” Practice Location

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