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Organization
ORTHOPEDIC RECONSTRUCTION SPECIALISTS LLC
Active
Organization
ORTHOPEDIC RECONSTRUCTION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY MILLER (OFFICE MANAGER)
(856) 795-1945
Entity
Organization
Contact information
Practice address
600 SOMERDALE RD, SUITE 113, VOORHEES, NJ 08043
(856) 795-1945
(856) 795-7472
Mailing address
600 SOMERDALE RD, SUITE 113, VOORHEES, NJ 08043
(856) 795-1945
(856) 795-7472
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0546486000
AMERIHEALTH
—
01
—
1146556
HORIZON NJ HEALTH
—
01
—
2218550
AETNA
—
01
—
747998
PA BLUE SHIELD
—
Enumeration date
11/14/2006
Last updated
11/06/2012
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