Provider Demographics
NPI:1013570506
Name:ATLANTICARE CENTER FOR ORTHOPEDIC SURGERY
Entity Type:Organization
Organization Name:ATLANTICARE CENTER FOR ORTHOPEDIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIARAMELLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:856-889-3512
Mailing Address - Street 1:2500 ENGLISH CREEK AVE STE 1201
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5549
Mailing Address - Country:US
Mailing Address - Phone:856-889-3512
Mailing Address - Fax:
Practice Address - Street 1:2500 ENGLISH CREEK AVE STE 1201
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5549
Practice Address - Country:US
Practice Address - Phone:856-889-3512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTICARE SURGERY CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-19
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Multi-Specialty