Organization
KEYSTONE ORTHOPAEDIC SPECIALISTS LLC
Active
Parent organization
KEYSTONE ORTHOPAEDIC SPECIALISTS LLC
Other names
The Reading Neck and Spine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEYSTONE ORTHOPAEDIC SPECIALISTS LLC
Authorized official
DR. STEPHEN P BANCO MD (PRESIDENT)
(610) 372-1140
Entity
Organization
Contact information
Practice address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 372-1140
(610) 372-7684
Mailing address
PO BOX 9202, BELFAST, ME 04915-9202
(610) 372-1140
(610) 372-7684
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD054229L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255666012
GROUP NPI NUMBER
—
01
—
173951
GROUP PTAN
—
Enumeration date
11/11/2010
Last updated
02/17/2012
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