# FIRST STATE ORTHOPAEDICS, PA

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

## Provider details

- **NPI number:** 1710564877
- **Authorized official:** DAVID BLAEUER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 731-2888

## Contact information

- **Practice address:** 77 MILFORD NECK RD STE 101, MILFORD, DE 19963-6727
- **Practice address phone:** (302) 731-2888
- **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 | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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