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ATLANTIC LITHOTRIPSY NPI 1245285634


NPI Information

NPI: 1245285634
Provider Name: ATLANTIC LITHOTRIPSY

Doing Business As: MIDATLANTIC STONE CENTER

Classification: Clinic/Center - 261QL0400X
Entity Type: Organization

Specialization: Lithotripsy

CLIA Number: 31D0901070

Address:
100 BRICK RD
SUITE 103
MARLTON, NJ
ZIP 08053
Phone: (856) 983-7337
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ATLANTIC LITHOTRIPSY is a lithotripsy clinic center in Marlton, NJ. ATLANTIC LITHOTRIPSY NPI is 1245285634. The provider is registered as an organization entity type.
The provider Is Doing Business As Midatlantic Stone Center.

The provider's business location address is:

100 BRICK RD
SUITE 103
MARLTON, NJ
ZIP 08053-146
Phone: (856) 983-7337
Fax: (856) 983-6970

The provider's authorized official is Robert Barsky .
The authorized official title is Administrator and has the following contact phone number (856) 983-7337.

The CLIA number assigned to this NPI record is 31D0901070 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 12/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QL0400XClinic/CenterLithotripsy80185NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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