Search › New Jersey › 363A00000X
Despina Lianidis, PA-C
NPI 1790430692 · on the registry since 2022
Practice
- Address
- 131 Route 70 Ste 100
Medford, NJ 08055 - Phone
- (609) 267-9400
- Organisation at this address
- Virtua Medical Group, Pa
Reconstructive Orthopedics, P.A.
Reconstructive Orthopedics, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey