# FIRST STATE ORTHOPAEDICS, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST STATE ORTHOPAEDICS, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821524182
- **Legal business name:** FIRST STATE ORTHOPAEDICS, PA
- **Authorized official:** DAVID BLAEUER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (302) 731-2888

## Contact information

- **Practice address:** 5317 LIMESTONE RD BLDG SUITE104, WILMINGTON, DE 19808-1252
- **Practice address phone:** (302) 731-2888
- **Practice address fax:** (302) 731-7049
- **Mailing address:** 211 EXECUTIVE DR, SUITE 11, NEWARK, DE 19702-3358
- **Mailing address phone:** (302) 731-2888
- **Mailing address fax:** (302) 731-7049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | DE | Yes |

## Other

- **Enumeration date:** 05/05/2017
- **Last updated:** 07/21/2022

## Other identifiers

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