Healthcare Provider Details

I. General information

NPI: 1780709717
Provider Name (Legal Business Name): FAMILY ORTHOPEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 OVERLOOK RD SUITE 202
SUMMIT NJ
07901-3570
US

IV. Provider business mailing address

33 OVERLOOK RD SUITE 202
SUMMIT NJ
07901-3570
US

V. Phone/Fax

Practice location:
  • Phone: 908-273-8340
  • Fax: 908-273-1553
Mailing address:
  • Phone: 908-273-8340
  • Fax: 908-273-1553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberMA048142
License Number StateNJ

VIII. Authorized Official

Name: DR. JOSEPH F ALTONGY
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 908-273-8340