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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
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST STATE ORTHOPAEDICS PA
Authorized official
ARLEEN A AUKAMP (CREDENTIALING MANAGER)
(302) 451-6913
Entity
Organization
Contact information
Practice address
26744 JOHN J WILLIAMS HWY, SUITE 4, MILLSBORO, DE 19966-4667
(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
—
DE
208100000X
Physical Medicine & Rehabilitation Physician
—
DE
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
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
DE
363A00000X
Physician Assistant
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000633502
—
DE
01
—
0848032000
AMERIHEALTH
—
01
—
1030265
AETNA US HEALTHCARE
—
01
—
204885
UNISON HEALTH PLAN
—
01
—
510343207
BLUE CROSS BLUE SHIELD OF DELAWARE
—
01
—
510370286
UNION LABOR LIFE INSURANCE COMPANY
—
Enumeration date
11/05/2010
Last updated
12/01/2023
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