Randal R Betz, M.D.

Individual provider Active NPI Orthopaedic Surgery Physician · Lawrenceville, NJ

NPI 1851369979 · NPPES record last updated Apr 14, 2014

Key facts

NPI
1851369979
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
25MA07977600 (NJ)
Practice address
3100 Princeton Pike
Lawrenceville, NJ 08648-2300
Phone
(609) 912-1500
Fax
(609) 912-1601
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07977600NJMDOrthopaedic Surgery Physician
246151-1NYMDOrthopaedic Surgery Physician
MD020978EPAMDOrthopaedic Surgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD020978E PA
Orthopaedic Surgery Physician 207X00000X 25MA07977600 NJ Yes
Orthopaedic Surgery Physician 207X00000X 246151-1 NY

Addresses

Primary practice location

3100 Princeton Pike
Lawrenceville, NJ 08648-2300

Mailing address

3100 Princeton Pike
Lawrenceville, NJ 08648-2300
Phone (609) 912-1500

Other providers in Lawrenceville, NJ

All providers in Lawrenceville, NJ · Orthopaedic Surgery Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.