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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
77 MILFORD NECK RD STE 101, MILFORD, DE 19963-6727
(302) 731-2888
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
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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