Organization
KEYSTONE ORTHOPAEDIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P. BANCO MD (PRESIDENT)
(610) 372-7200
Entity
Organization
Contact information
Practice address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 376-5600
(610) 372-7684
Mailing address
1270 BROADCASTING RD, WYOMISSING, PA 19610
(610) 376-5600
(610) 687-0197
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
09/15/2016
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