Provider Demographics
NPI:1982890703
Name:ATKINSON INTERNAL MEDICINE, P.A.
Entity Type:Organization
Organization Name:ATKINSON INTERNAL MEDICINE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:Q
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-797-9229
Mailing Address - Street 1:180 TUCKERTON RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8802
Mailing Address - Country:US
Mailing Address - Phone:856-797-9229
Mailing Address - Fax:856-797-9919
Practice Address - Street 1:180 TUCKERTON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8802
Practice Address - Country:US
Practice Address - Phone:856-797-9229
Practice Address - Fax:856-797-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-16
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty