Healthcare Provider Details

I. General information

NPI: 1801843511
Provider Name (Legal Business Name): MERCER BUCKS ORTHOPAEDICS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 07/22/2022
Certification Date: 07/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 KUSER RD STE 3
HAMILTON NJ
08691
US

IV. Provider business mailing address

2501 KUSER RD STE 3
HAMILTON NJ
08691-3386
US

V. Phone/Fax

Practice location:
  • Phone: 609-896-0444
  • Fax: 609-896-2617
Mailing address:
  • Phone: 609-896-0444
  • Fax: 609-896-2617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: PAUL CODJOE
Title or Position: PRESIDENT
Credential: MD
Phone: 609-896-0444