Provider Demographics
NPI:1043266604
Name:TRI-COUNTY ORTHOPAEDIC,P.A.
Entity Type:Organization
Organization Name:TRI-COUNTY ORTHOPAEDIC,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-589-7770
Mailing Address - Street 1:1A REGULUS DR
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2427
Mailing Address - Country:US
Mailing Address - Phone:856-589-7770
Mailing Address - Fax:856-589-3665
Practice Address - Street 1:1A REGULUS DR
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2427
Practice Address - Country:US
Practice Address - Phone:856-589-7770
Practice Address - Fax:856-589-3665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090209Medicare ID - Type UnspecifiedGROUP NUMBER