Provider Demographics
NPI:1700821675
Name:ATLANTIC ALLERGY & ASTHMA CENTER, PC
Entity Type:Organization
Organization Name:ATLANTIC ALLERGY & ASTHMA CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-653-6676
Mailing Address - Street 1:408 BETHEL RD
Mailing Address - Street 2:SUITE D1
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2172
Mailing Address - Country:US
Mailing Address - Phone:609-653-6676
Mailing Address - Fax:609-653-8828
Practice Address - Street 1:408 BETHEL RD
Practice Address - Street 2:SUITE D1
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2172
Practice Address - Country:US
Practice Address - Phone:609-653-6676
Practice Address - Fax:609-653-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty