Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES LTD
Active
Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
525 W CHESTER PIKE, SUITE 203, HAVERTOWN, PA 19083-4500
(610) 789-7768
Mailing address
525 W CHESTER PIKE, SUITE 203, HAVERTOWN, PA 19083-4500
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD070801L
PA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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