Organization
VIRTUA MEDICAL GROUP, PA
Active
Other names
VIRTUA RECONSTRUCTIVE ORTHOPEDICS - BORDENTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK MATSINGER DO (EVP AND CHIEF OPERATING OFFICER)
(856) 355-0340
Entity
Organization
Contact information
Practice address
243 ROUTE 130 STE 100, BORDENTOWN, NJ 08505-2137
(609) 267-9400
(609) 424-3517
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/04/2023
Last updated
05/30/2024
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