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Organization
FIRST STATE ORTHOPAEDICS, PA
Active
Organization
FIRST STATE ORTHOPAEDICS, PA
Active
Parent organization
FIRST STATE ORTHOPAEDICS, PA
Other names
Orthopaedic Associates of Southern Delaware, 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
118 ATLANTIC AVE STE 301, OCEAN VIEW, DE 19970-9163
(302) 644-3311
(302) 644-3300
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0595270033
MEDICARE NSC
—
01
—
1184681488
COMMERCIAL INSURANCES
—
Enumeration date
04/26/2019
Last updated
12/01/2023
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