Reconstructive Orthopedics, P.a.

NPI #1881090298 in Cherry Hill, New Jersey

Provider Information

NPI Number: 1881090298
Entity Type: Organization
Organization Name: Reconstructive Orthopedics, P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: RECONSTRUCTIVE ORTHOPEDICS, P.A.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Nov 12, 2014
Last Updated: Nov 12, 2014

Practice Location

Address: 1004 HADDONFIELD RD
City: Cherry Hill
State: New Jersey
ZIP Code: 08002-2746
Phone: (609) 267-9400

Authorized Official

Name: AMY MICKLE
Title: CREDENTIALING SPECIALIST
Phone: (609) 267-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X
Physician Assistant	363A00000X
Physician Assistant - Surgical — Surgical	363AS0400X
Orthopaedic Surgery	207X00000X	Primary

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