Basic Information
| Provider Information | |||||||||
| NPI: | 1790724961 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ATRIUM TWO FAMILY PRACTICE ASSOCIATES, P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | ATRIUM TWO, SUITE 2 , 468 HURFFVILLE-CROSS KEYS RD. | ||||||||
| Address2: | |||||||||
| City: | SEWELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565892929 | ||||||||
| FaxNumber: | 8565821146 | ||||||||
| Practice Location | |||||||||
| Address1: | ATRIUM TWO, SUITE 2 , 468 HURFFVILLE-CROSS KEYS RD. | ||||||||
| Address2: | |||||||||
| City: | SEWELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565892929 | ||||||||
| FaxNumber: | 8565821146 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2006 | ||||||||
| LastUpdateDate: | 10/02/2007 | ||||||||
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| AuthorizedOfficialLastName: | LEVIN | ||||||||
| AuthorizedOfficialFirstName: | NEIL | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8565892929 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.