Virtua Medical Group, Pa, NPI 1386194694
Foot & Ankle Surgery Podiatrist in Pennsauken, NJ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1386194694
NPI Entity Type Organization
Provider Name Virtua Medical Group, Pa
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 6981 N Park Dr Ste 200c, Pennsauken, NJ, US
Provider Mailing Address 301 Lippincott Dr Ste 410, Marlton, NJ, US, 080534197
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DO John Mark Matsinger
Official Position EVP, SYSTEM CHIEF CLINICAL OFFICER
Phone 856-355-0340

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

213ES0103X

Taxonomy Name Foot & Ankle Surgery Podiatrist
Classification

Podiatrist

Group

Podiatric Medicine & Surgery Service Providers

License No. 25MD00313600
License State NJ
Description Definition to come...

Business Address

Virtua Medical Group, Pa
6981 N Park Dr Ste 200c

Pennsauken, NJ, US

Phone: 855-548-7634
Fax: 856-355-7127

Mailing Address

Virtua Medical Group, Pa
301 Lippincott Dr Ste 410
Marlton, NJ, US
ZIP 080534197
Phone: 856-355-0340
Fax: 856-355-0330

Secondary Taxonomies

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