Organization
COASTAL PEDIATRIC ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOS PLAKAS MD (OWNER)
(732) 403-3395
Entity
Organization
Contact information
Practice address
833 LACEY RD STE 2, FORKED RIVER, NJ 08731-1200
(732) 403-3395
Mailing address
PO BOX 359, LONG BRANCH, NJ 07740-0359
(732) 403-3395
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457593261
NPI
NJ
Enumeration date
08/29/2017
Last updated
11/24/2019
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