# FIRST STATE ORTHOPAEDICS PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST STATE ORTHOPAEDICS PA
- **Other names:** Orthopaedic Associates of Southern Delaware
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114465812
- **Legal business name:** FIRST STATE ORTHOPAEDICS PA
- **Authorized official:** ARLEEN A AUKAMP (CREDENTIALING MANAGER)
- **Authorized official phone:** (302) 451-6913

## Contact information

- **Practice address:** 701 SAVANNAH RD STE B, LEWES, DE 19958-1550
- **Practice address phone:** (302) 645-2805
- **Practice address fax:** (302) 645-1164
- **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 | C10006103 | DE | Yes |
| 208600000X | Surgery Physician | C10008726 | DE | — |

## Other

- **Enumeration date:** 02/02/2017
- **Last updated:** 11/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000633502 | — | DE |
| 01 | — | 1184681488 | COMMERCIAL INSURANCES | — |