South Jersey Sports & Spine Medicine Llc
LBN: South Jersey Sports & Spine Medicine Llc
South Jersey Sports & Spine Medicine Llc is an health care organization with primary practice located at 525 Route 73 South Evesham Commons- Suite 104A, Marlton NJ 08053-9643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
South Jersey Sports & Spine Medicine Llc can be contacted via phone (856) 874-9777, or through Stein, Meryl Y via phone (856) 874-9777.
Contact Information
Primary practice address
525 Route 73 South Evesham Commons- Suite 104A
Marlton NJ 08053-9643
Phone: (856) 874-9777
Fax: (856) 874-9444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X |
Profile Details
| NPI number | 1588686604 |
|---|---|
| LBN Legal business name | South Jersey Sports & Spine Medicine Llc |
| DBA Doing business as | |
| Authorized official | Stein, Meryl Y Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Oct 25th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588686604 | NPPES |
| New Jersey | Other | 2625614000 | AMERIHEALTH |
| New Jersey | Other | 610782200 | AMERIHEALTH |
| New Jersey | MEDICAID | 0075728 | AMERIHEALTH |
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