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Organization

ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEWIS S SHARPS M.D. (PHYSICIAN)
(610) 644-7755
Entity
Organization

Contact information

Practice address
254 W LANCASTER AVE, PAOLI, PA 19301-1723
(610) 644-7755
(610) 644-8290
Mailing address
PO BOX 968, PAOLI, PA 19301-0968
(610) 644-7755
(610) 644-8290

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000386934
BLUE CROSS/BLUE SHIELD
01
30376
US HEALTHCARE
PA
01
465833
US HEALTHCARE
DE
01
CI3754
RAILROAD MEDICARE
PA
01
G01550
MEDICARE OF DELAWARE
DE
Enumeration date
08/22/2005
Last updated
02/01/2013
Update your record

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