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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
12100 BLACK SWAN DRIVE, SUITE 101, LEWES, DE 19958
(302) 731-2888
(302) 731-7049
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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