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Organization
PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
Active
Organization
PREMIER ORTHOPAEDIC & 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
556 EGG HARBOR RD STE A, SEWELL, NJ 08080-2326
(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
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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