Provider Demographics
NPI:1790724961
Name:ATRIUM TWO FAMILY PRACTICE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:ATRIUM TWO FAMILY PRACTICE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-589-2929
Mailing Address - Street 1:ATRIUM TWO, SUITE 2 , 468 HURFFVILLE-CROSS KEYS RD.
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080
Mailing Address - Country:US
Mailing Address - Phone:856-589-2929
Mailing Address - Fax:856-582-1146
Practice Address - Street 1:ATRIUM TWO, SUITE 2 , 468 HURFFVILLE-CROSS KEYS RD.
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-589-2929
Practice Address - Fax:856-582-1146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ027522Medicare PIN