Organization Name: | TRENTON ORTHOPAEDIC GROUP, PA |
NPI Number: | 1053705301 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J. FLETCHER (MANAGING PARTNER) |
Mailing Address: | 1225 Whitehorse Mercerville Rd Bldg. D, Suite 220 Mercerville |
State: | NJ US |
Postal Code: | 086193882 |
Phone Number: | 6095812200 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2015 |
NPI Last Update Date: | 03/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00362200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |