# 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:** 1295218931
- **Legal business name:** FIRST STATE ORTHOPAEDICS PA
- **Authorized official:** DAVID BLAEUER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 731-2888

## Contact information

- **Practice address:** 17015 OLD ORCHARD RD UNIT 2, LEWES, DE 19958-4849
- **Practice address phone:** (302) 644-3311
- **Practice address fax:** (302) 644-3300
- **Mailing address:** 211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
- **Mailing address phone:** (302) 731-2888

## Taxonomy

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

## Other

- **Enumeration date:** 09/10/2018
- **Last updated:** 09/10/2018