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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 SHEPHERD (ADMINISTRATOR OF PHYSICIAN SERVICES)
(856) 690-1616
Entity
Organization
Contact information
Practice address
4 BURTON LN STE 300, MULLICA HILL, NJ 08062-9441
(856) 690-1616
(856) 690-1089
Mailing address
352 S DELSEA DR UNIT C, VINELAND, NJ 08360-5308
(856) 690-1616
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/04/2022
Last updated
09/27/2024
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