Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STOTT (ADMINISTRATIVE MANAGER)
(610) 359-5664
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, PROF OFFICE BLDG II STE 324, CHESTER, PA 19013-3902
(610) 876-0347
Mailing address
1 MEDICAL CENTER BLVD, PROF OFFICE BLDG II STE 324, CHESTER, PA 19013-3902
(610) 876-0347
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/01/2010
Last updated
11/18/2013
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