Organization
PREMIER ORTHOPAEDIC & SPORTS MEDICINE ASSO., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MALUMED (PRESIDENT)
(610) 521-8970
Entity
Organization
Contact information
Practice address
8815 GERMANTOWN AVE STE 14, PHILADELPHIA, PA 19118-2722
(484) 768-9101
Mailing address
3809 W CHESTER PIKE STE 150, NEWTOWN SQUARE, PA 19073-0259
(610) 359-5691
(610) 359-1519
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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