Organization
KEYSTONE ORTHOPAEDIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P BANCO MD (PRESIDENT)
(484) 509-0840
Entity
Organization
Contact information
Practice address
2607 KEISER BLVD STE 200, WYOMISSING, PA 19610-3326
(484) 509-0840
(610) 568-1036
Mailing address
2607 KEISER BLVD STE 200, WYOMISSING, PA 19610-3326
(484) 509-0840
(610) 568-1036
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/13/2009
Last updated
08/04/2026
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