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Organization
PROFESSIONAL ORTHOPEDIC ASSOCIATES OF/IS SOUTHERN NJ
Active
Organization
PROFESSIONAL ORTHOPEDIC ASSOCIATES OF/IS SOUTHERN NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA M VANCHO ASRT (PRACTICE MANAGER)
(856) 547-2323
Entity
Organization
Contact information
Practice address
17 WHITE HORSE PIKE, SUITE 1, HADDON HEIGHTS, NJ 08035
(856) 547-2323
(856) 547-7932
Mailing address
17 WHITE HORSE PIKE, SUITE 1, HADDON HEIGHTS, NJ 08035
(856) 547-2323
(856) 547-7932
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03449600
NJ
207X00000X
Orthopaedic Surgery Physician
25MA04381000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2714108
—
NJ
Enumeration date
06/06/2006
Last updated
10/30/2007
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