# ACADEMY ORTHOPEDICS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538271697
- **Authorized official:** DR. ENRICO A MARCELLI DO (MANAGING PARTNER CORPORATE OFFICER)
- **Authorized official phone:** (856) 256-0051

## Contact information

- **Practice address:** 570 EGG HARBOR RD, SUITE B2, SEWELL, NJ 08080-2359
- **Practice address phone:** (856) 256-0051
- **Practice address fax:** (856) 256-1903
- **Mailing address:** 570 EGG HARBOR ROAD, SUITE B2, SEWELL, NJ 08080-2237
- **Mailing address phone:** (856) 256-0051
- **Mailing address fax:** (856) 256-1903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/18/2007