Brigantine Medical Group Pa in Brigantine - Adult Medicine

Brigantine Medical Group Pa - NPI 1669462735

Brigantine Medical Group Pa is a Adult Medicine in Brigantine, New Jersey. Brigantine Medical Group Pa practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Brigantine Medical Group Pa is 1669462735. The last update date is 2022-07-21.

Brigantine Medical Group Pa's current location address is 353 12th St S, Brigantine, New Jersey. You can contact this provider via phone number 6092667557 and fax number 6092664450. The mailing address for Brigantine Medical Group Pa is 353 12th St S, Brigantine, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brigantine Medical Group Pa
Address 353 12th St S, Brigantine, New Jersey
Phone Number 6092667557
Fax Number 6092664450
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Mackleer Barbara
Telephone Number 6092667557

NPI Number Detail

NPI Number 1669462735
Provider Enumeration Date 2005-10-28
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 353 12th St S
City Brigantine
State New Jersey (NJ)
Post Code 82032211
Phone Number 6092667557
Fax Number 6092664450

Provider's Primary Taxonomy Detail

Speciality Adult Medicine
Taxonomy 207Qa0505X
Definition:
The NUCC recommends this code not be used. Choose a more appropriate code.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2618907-1 NJ --

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FAQs about Brigantine Medical Group Pa

What is the Brigantine Medical Group Pa's unique identification number?

The Brigantine Medical Group Pa has been assigned the NPI (National Provider Identifier) Number 1669462735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Brigantine Medical Group Pa is physically located?

The Brigantine Medical Group Pa is situated at the following address: 353 12Th St S, Brigantine, NJ 82032211.

What is Brigantine Medical Group Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brigantine Medical Group Pa is Adult Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0505X.

On what date was the 1669462735 assigned to Brigantine Medical Group Pa?

The Brigantine Medical Group Pa was issued its 1669462735 on 2005-10-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Brigantine Medical Group Pa most recently updated or revised?

The information pertaining to Brigantine Medical Group Pa, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.

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