NPI 1225524911
Premier Orthopaedic & Sports Medicine Assoc of Southern Nj LLC
Practice location
- Address
- 70 Manheim Ave STE 1, Bridgeton, NJ 08302-2136
- Phone
- (856) 690-1616
- Fax
- (856) 690-1089
- Mailing address
- 352 S Delsea Dr STE C, Vineland, NJ 08360-5306
Authorised official
- Name
- Verna Shepherd
- Title
- Administrator of Physician Services
- Phone
- (856) 690-1616
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1225524911
- Entity type
- Organization
- NPI issued
- 5 Jul 2018
- Record last updated
- 29 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.