Organization
KEYSTONE ORTHOPAEDIC SPECIALISTS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PATRICK BANCO M.D. (PRESIDENT)
(610) 372-1140
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 19610-3203
(610) 376-5600
(610) 372-7684
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/13/2011
Last updated
12/29/2011
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