Organization
ORTHOEDGE2
Active
Organization
ORTHOEDGE2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN RAE IDEMA DO (OWNER)
(215) 510-3723
Entity
Organization
Contact information
Practice address
470 JOHNSON RD STE 210, WASHINGTON, PA 15301-8944
(412) 206-6770
(724) 941-5027
Mailing address
470 JOHNSON RD STE 210, WASHINGTON, PA 15301-8944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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