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General NPI Number Information
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NPI Number | 1508653668
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Entity Type | Organization
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Legal Business Name | VIRTUA MEDICAL GROUP, PA
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 239 HURFFVILLE CROSSKEYS RD STE 470
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City | SEWELL
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State | NJ
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Zip | 08080-4009
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Country | US
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Telephone | 856-983-4263
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Fax | 856-341-8496
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-355-3340
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Fax | 856-355-0330
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Authorized Official
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Title or Position | EVP; CHIEF OPERATING OFFICER
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Name | JOHN MARK MATSINGER
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Credential | DO
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Telephone | 856-355-0340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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