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Organization

PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERNA SHEPHERD (ADMINISTRATOR OF PHYSICIAN SERVICES)
(856) 690-1616
Entity
Organization

Contact information

Practice address
201 TOMLIN STATION RD STE C, MULLICA HILL, NJ 08062-1612
(856) 690-1616
(856) 690-1089
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 690-1089

Taxonomy

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

Other

Enumeration date
07/05/2018
Last updated
04/29/2020
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