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Organization
FIRST STATE ORTHOPAEDICS PA
Active
Organization
FIRST STATE ORTHOPAEDICS PA
Active
Parent organization
FIRST STATE ORTHOPAEDICS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST STATE ORTHOPAEDICS PA
Authorized official
DAVID BLAEUER (EXECUTIVE DIRECTOR)
(302) 731-2888
Entity
Organization
Contact information
Practice address
4106 OGLETOWN STANTON RD, NEWARK, DE 19713-4169
(302) 731-2888
(302) 731-7049
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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