Brigantine Medical Group Pa

LBN: Brigantine Medical Group Pa
Brigantine Medical Group Pa is an health care organization with primary practice located at 353 12Th St S , Brigantine NJ 08203-2211. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Brigantine Medical Group Pa can be contacted via phone (609) 266-7557, or through Mackleer, Barbara via phone (609) 266-7557.

Contact Information

Primary practice address
353 12Th St S Brigantine NJ 08203-2211
Fax: (609) 266-4450
Website:
Authorized official contact:
Name: Mackleer, Barbara

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X New Jersey

Profile Details

NPI number 1669462735
LBN Legal business name Brigantine Medical Group Pa
DBA Doing business as
Authorized official Mackleer, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669462735 NPPES
New Jersey MEDICAID 2618907-1

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