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PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC NPI 1114548229


NPI Information

NPI: 1114548229
Provider Name: PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 31D2097389

Address:
1004 HADDONFIELD RD
CHERRY HILL, NJ
ZIP 08002
Phone: (856) 690-1616
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PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC is an orthopaedic surgery in Cherry Hill, NJ. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC OF SOUTHERN NJ LLC NPI is 1114548229. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1004 HADDONFIELD RD
CHERRY HILL, NJ
ZIP 08002-746
Phone: (856) 690-1616
Fax: (856) 690-1089

The provider's authorized official is Verna Shepherd .
The authorized official title is Administrator Of Physician Services and has the following contact phone number (856) 690-1616.

The CLIA number assigned to this NPI record is 31D2097389 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2020 and was last updated on 9/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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