Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC
NPI #1699261388 in Glassboro, New Jersey
Provider Information
- NPI Number
- 1699261388
- Entity Type
- Organization
- Organization Name
- Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jul 5, 2018
- Last Updated
- Apr 29, 2020
Practice Location
- Address
- 200 ROWAN BLVD
- City
- Glassboro
- State
- New Jersey
- ZIP Code
- 08028
- Phone
- (856) 690-1616
Authorized Official
- Name
- VERNA SHEPHERD
- Title
- ADMINISTRATOR OF PHYSICIAN SERVICES
- Phone
- (856) 690-1616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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