Organization
FIRST STATE ORTHOPAEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLAEVER (EXECUTIVE DIRECTOR)
(302) 731-2888
Entity
Organization
Contact information
Practice address
737 SOUTH QUEEN ST, SUITE 2, DOVER, DE 19904
(302) 672-7700
Mailing address
4745 OGLETOWN-STANTON RD, SUITE 225, NEWARK, DE 19713
(302) 731-2888
(302) 368-0103
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
562752
DE
207X00000X
Orthopaedic Surgery Physician
Primary
—
DE
Other
Enumeration date
05/18/2007
Last updated
07/21/2022
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