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Organization
JOHN T BANNON MD PA
Active
Organization
JOHN T BANNON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T BANNON MD (OWNER)
(609) 653-9377
Entity
Organization
Contact information
Practice address
141 SHORE RD, SOMERS POINT, NJ 08244-2739
(609) 653-9377
(609) 926-0476
Mailing address
141 SHORE RD, SOMERS POINT, NJ 08244-2739
(609) 653-9377
(609) 926-0476
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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