Organization
TPS IV OF PA., LLC
Active
Other names
University Orthopaedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HOLLAND (SVP REGIONAL OPERATIONS, TENET)
(469) 893-6193
Entity
Organization
Contact information
Practice address
1300 LINCOLN DR. WEST STE 301, 4 GREENTREE CENTER, MARLTON, NJ 08053-3408
(856) 396-0940
(856) 396-0127
Mailing address
PO BOX 827965, PHILADELPHIA, PA 19182-7965
(856) 396-0940
(856) 396-0127
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
07/28/2016
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