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Organization
FIRST STATE ORTHOPAEDICS, PA
Active
Organization
FIRST STATE ORTHOPAEDICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLAEUER (EXECUTIVE DIRECTOR)
(302) 731-2888
Entity
Organization
Contact information
Practice address
642 S QUEEN ST, STE 101, DOVER, DE 19904-3506
(302) 731-2888
(302) 731-7049
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
DE
208VP0000X
Pain Medicine Physician
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82302
—
DE
Enumeration date
01/14/2016
Last updated
07/21/2022
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