Organization
CAUTILLI ORTHOPAEDIC SURGICAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C ELLEN MCWILLIAMS (ADMINISTRATOR)
(215) 504-6101
Entity
Organization
Contact information
Practice address
115 FLORAL VALE BLVD, SUITE C, YARDLEY, PA 19067-5522
(215) 504-6101
(215) 504-1910
Mailing address
115 FLORAL VALE BLVD, SUITE C, YARDLEY, PA 19067-5522
(215) 504-6101
(215) 504-1910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019413930001
—
PA
05
—
0019413930002
—
PA
01
—
1421680
PERSONAL CHOICE NUMBERS
—
01
—
2110238000
KEYSTONE HEALTHPLAN EAST
—
01
—
2981909
AETNA
—
01
—
CA1421680
PA BLUE SHIELD GROUP
—
Enumeration date
05/02/2006
Last updated
11/13/2007
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