Organization
KEYSTONE ORTHOPAEDIC SPECIALISTS,LLC
Active
Parent organization
KEYSTONE ORTHOPAEDIC SPECIALISTS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEYSTONE ORTHOPAEDIC SPECIALISTS LLC
Authorized official
DR. STEPHEN P. BANCO MD (PRESIDENT)
(484) 509-0480
Entity
Organization
Contact information
Practice address
2607 KEISER BLVD # 200, WYOMISSING, PA 19610
(484) 509-0840
(610) 678-2100
Mailing address
2607 KEISER BLVD # 200, WYOMISSING, PA 19610-3338
(484) 509-0840
(610) 678-2100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD054229L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
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Other
Enumeration date
08/04/2016
Last updated
10/05/2023
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