Healthcare Provider Details

I. General information

NPI: 1013197482
Provider Name (Legal Business Name): MERCER BUCKS ORTHOPAEDICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 UNION VALLEY ROAD SUITE 102
MONROE TOWNSHIP NJ
08831-6000
US

IV. Provider business mailing address

2501 KUSER ROAD SUITE 3
HAMILTON NJ
08691-3386
US

V. Phone/Fax

Practice location:
  • Phone: 609-896-0444
  • Fax: 609-587-4349
Mailing address:
  • Phone: 609-896-0444
  • Fax: 609-587-4349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberMA45959
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DAVID EINGORN
Title or Position: PRESIDENT
Credential: MD
Phone: 609-896-0444