Organization
PREMIER ORTHOPAEDIC OF SOUTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M LIPSCHULTZ MD (DR)
(856) 853-8004
Entity
Organization
Contact information
Practice address
1007 MANTUA PIKE, WOODBURY, NJ 08096-3963
(856) 853-8004
(856) 853-8022
Mailing address
1007 MANTUA PIKE, WOODBURY, NJ 08096-3963
(856) 853-8004
(856) 853-8022
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA054868
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124197942
—
NJ
01
—
1271200
CIGNA
NJ
01
—
2423391000
INDEPENDENCE BLUE CROSS
NJ
01
—
610073
ADMINISTRATORS
NJ
01
—
7002746
AETNA
NJ
Enumeration date
02/21/2007
Last updated
04/20/2008
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