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Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE
Active
Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE BUDDY (CREDENTIALING COORDINATOR)
(610) 359-5671
Entity
Organization
Contact information
Practice address
931 E HAVERFORD RD, SUITE 201, BRYN MAWR, PA 19010-3838
(610) 527-7870
Mailing address
931 E HAVERFORD RD, SUITE 201, BRYN MAWR, PA 19010-3838
(610) 527-7870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/28/2013
Last updated
01/31/2022
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