Organization
ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA K MAINIERO (PRACTICE ADMINISTRATOR)
(610) 644-7755
Entity
Organization
Contact information
Practice address
254 LANCASTER AVE, MALVERN, PA 19355-3087
(610) 644-7755
(610) 644-8290
Mailing address
254 LANCASTER AVE, MALVERN, PA 19355-3087
(610) 644-7755
(610) 644-8290
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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