Organization
FIRST STATE ORTHOPAEDICS PA
Active
Parent organization
FIRST STATE ORTHOPAEDICS PA
Other names
Orthopaedic Associates of Southern Delaware
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST STATE ORTHOPAEDICS PA
Authorized official
ARLEEN A AUKAMP (CREDENTIALING MANAGER)
(302) 451-6913
Entity
Organization
Contact information
Practice address
701 SAVANNAH RD STE B, LEWES, DE 19958-1550
(302) 645-2805
(302) 645-1164
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C10006103
DE
208600000X
Surgery Physician
C10008726
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000633502
—
DE
01
—
1184681488
COMMERCIAL INSURANCES
—
Enumeration date
02/02/2017
Last updated
11/08/2018
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