Organization
ORTHOPEDIC SPORTS & ARTHRITIS SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MANSMANN MD (OWNER)
(610) 644-6040
Entity
Organization
Contact information
Practice address
250 W LANCASTER AVE, SUITE 310, PAOLI, PA 19301-1743
(610) 644-6040
(610) 644-7202
Mailing address
250 W LANCASTER AVE, SUITE 310, PAOLI, PA 19301-1743
(610) 644-6040
(610) 644-7202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548608
HIGHMARK BLUE SHIELD
—
Enumeration date
01/23/2006
Last updated
10/17/2007
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