# VIRTUA MEDICAL GROUP, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VIRTUA RECONSTRUCTIVE ORTHOPEDICS - BORDENTOWN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780373803
- **Authorized official:** JOHN MARK MATSINGER DO (EVP AND CHIEF OPERATING OFFICER)
- **Authorized official phone:** (856) 355-0340

## Contact information

- **Practice address:** 243 ROUTE 130 STE 100, BORDENTOWN, NJ 08505-2137
- **Practice address phone:** (609) 267-9400
- **Practice address fax:** (609) 424-3517
- **Mailing address:** 301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
- **Mailing address phone:** (856) 355-0340
- **Mailing address fax:** (856) 355-0330

## 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 | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/04/2023
- **Last updated:** 05/30/2024