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Organization
RECONSTRUCTIVE ORTHOPEDICS, PA
Active
Organization
RECONSTRUCTIVE ORTHOPEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKA LITT (CREDENTIALING COORDINATOR)
(609) 267-9400
Entity
Organization
Contact information
Practice address
614 LAMBS RD UNIT C, PITMAN, NJ 08071-2023
(609) 267-9400
(609) 267-9457
Mailing address
4 EVES DR STE A100, MARLTON, NJ 08053-3126
(609) 267-9400
(609) 267-9457
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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