Organization
TITLEMAN ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL K KEENE BOCO (MANAGING PARTNER)
(215) 722-0751
Entity
Organization
Contact information
Practice address
700 E TOWNSHIP LINE RD, 1ST FLOOR, HAVERTOWN, PA 19083-5733
(610) 724-3561
Mailing address
8 N 5TH ST, GROUND FLOOR, SUNBURY, PA 17801-2392
(215) 722-0751
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
42496672
PA
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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