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Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
Active
Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNA M SHEPHERD (ADMINISTRATOR OF PHYSICIAN SERVICES)
(856) 690-1616
Entity
Organization
Contact information
Practice address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 690-1089
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 690-1089
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA63862
NJ
Other
Enumeration date
11/30/2006
Last updated
04/29/2020
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