Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Virtua Medical Group, PA

Organization Psychologist · NPI 1417219619

Virtua Medical Group, PA is a Psychologist in Mount Laurel, New Jersey. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 Century Pkwy Ste 350
Mount Laurel, NJ 08054-1149
Phone: (856) 482-9000
Fax: (856) 482-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychologist Taxonomy 103T00000X
Family Medicine Physician Taxonomy 207Q00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1417219619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Matsinger — Evp; Chief Operating Officer · (856) 355-0340
Other names Rowan Medicine Psychiatry - Mount Laurel, An Affiliate Of Vmg
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197

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