# FIRST STATE ORTHOPAEDICS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508222928
- **Authorized official:** DAVID BLAEUER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 731-2888

## Contact information

- **Practice address:** 642 S QUEEN ST, STE 101, DOVER, DE 19904-3506
- **Practice address phone:** (302) 731-2888
- **Practice address fax:** (302) 731-7049
- **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 | — | DE | Yes |
| 208VP0000X | Pain Medicine Physician | — | DE | — |

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 82302 | — | DE |