# FIRST STATE ORTHOPAEDICS PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST STATE ORTHOPAEDICS PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033989942
- **Legal business name:** FIRST STATE ORTHOPAEDICS PA
- **Authorized official:** DAVID BLAEUER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 731-2888

## Contact information

- **Practice address:** 4106 OGLETOWN STANTON RD, NEWARK, DE 19713-4169
- **Practice address phone:** (302) 731-2888
- **Practice address fax:** (302) 731-7049
- **Mailing address:** 211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
- **Mailing address phone:** (302) 731-2888
- **Mailing address fax:** (302) 731-7049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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