Provider Demographics
NPI:1063033421
Name:ATLANTIC PEDIATRIC ORTHOPEDICS
Entity Type:Organization
Organization Name:ATLANTIC PEDIATRIC ORTHOPEDICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:STANKOVITS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-544-9000
Mailing Address - Street 1:1131 BROAD ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4368
Mailing Address - Country:US
Mailing Address - Phone:732-544-9000
Mailing Address - Fax:732-544-9099
Practice Address - Street 1:1131 BROAD ST STE 202
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4368
Practice Address - Country:US
Practice Address - Phone:732-544-9000
Practice Address - Fax:732-544-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty