Organization
FIRST STATE ORTHOPAEDICS, PA
Active
Parent organization
FIRST STATE ORTHOPAEDICS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST STATE ORTHOPAEDICS, PA
Authorized official
DAVID BLAEUER (EXECUTIVE DIRECTOR)
(302) 731-2888
Entity
Organization
Contact information
Practice address
5317 LIMESTONE RD BLDG SUITE104, WILMINGTON, DE 19808-1252
(302) 731-2888
(302) 731-7049
Mailing address
211 EXECUTIVE DR, SUITE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82302
—
DE
Enumeration date
05/05/2017
Last updated
07/21/2022
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