Organization
FIRST STATE ORTHOPAEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BLAEUER (ADMINISTRATOR)
(302) 731-2888
Entity
Organization
Contact information
Practice address
100 S MAIN ST STE 300, SMYRNA, DE 19977-1495
(302) 731-2888
(302) 731-7049
Mailing address
211 EXECUTIVE DR, SUITE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
562752
DE
207X00000X
Orthopaedic Surgery Physician
Primary
—
DE
Other
Enumeration date
05/17/2007
Last updated
08/25/2017
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