Organization · NPI-2
Atlantic Lithotripsy
Clinic/Center, Lithotripsy · Marlton, NJ
NPI number1245285634
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1245285634
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlantic Lithotripsy
- Organization subpart
- No
- Enumeration date
- May 23, 2006
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QL0400X | Clinic/Center, Lithotripsy | 80185 | NJ | Yes |
Other names
- Midatlantic Stone Center (Doing Business As)
Practice location
100 Brick RdSuite 103
Marlton, NJ 08053-2146
Phone 856-983-7337 · Fax 856-983-6970
Mailing address
100 Brick RdSuite 103
Marlton, NJ 08053-2146
Phone 856-983-7337 · Fax 856-983-6970
Authorized official
Robert Barsky
Administrator
8569837337
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