Organization
ORTHOPEDIC SPECIALISTS OF POTTSTOWN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD P WHITTAKER MD (PRESIDENT)
(610) 906-0101
Entity
Organization
Contact information
Practice address
1200 E HIGH ST, SUITE 307, POTTSTOWN, PA 19464-4954
(610) 906-0101
(610) 970-2334
Mailing address
1200 E HIGH ST, SUITE 307, POTTSTOWN, PA 19464-4954
(610) 906-0101
(610) 970-2334
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD009731E
PA
207X00000X
Orthopaedic Surgery Physician
Primary
MD011681E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045198USY
—
PA
Enumeration date
01/02/2008
Last updated
05/15/2008
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