Provider Demographics
NPI:1932268224
Name:CHERRY HILL ORTHOPEDIC SURGEONS,, P.A.
Entity Type:Organization
Organization Name:CHERRY HILL ORTHOPEDIC SURGEONS,, P.A.
Other - Org Name:CHERRY HILL ORTHOPEDIC SURGEONS, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAFTULIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-662-2400
Mailing Address - Street 1:PO BOX 8285
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-0285
Mailing Address - Country:US
Mailing Address - Phone:856-662-2400
Mailing Address - Fax:856-662-5525
Practice Address - Street 1:431 3RD AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-0285
Practice Address - Country:US
Practice Address - Phone:856-662-2400
Practice Address - Fax:856-662-5525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2987201Medicaid
NJ405561Medicare ID - Type UnspecifiedGROUP NUMBER