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Organization

SOUTH JERSEY SPORTS MEDICINE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE VERSAGGI (ADMINISTRATOR)
(856) 589-0650
Entity
Organization

Contact information

Practice address
556 EGG HARBOR RD, SUITE A, SEWELL, NJ 08080-2326
(856) 589-0650
(856) 589-2720
Mailing address
556 EGG HARBOR RD, SUITE A, SEWELL, NJ 08080-2326
(856) 589-0650
(856) 589-2720

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
05/11/2006
Last updated
09/06/2012
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