Organization
NORTHWEST ORTHOPAEDIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A PRINCE (MANAGER)
(267) 462-4877
Entity
Organization
Contact information
Practice address
550 PINETOWN RD, FT WASHINGTON, PA 19034-2605
(267) 462-4877
(267) 472-4878
Mailing address
550 PINETOWN RD, FT WASHINGTON, PA 19034-2605
(267) 462-4877
(267) 472-4878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000374924
HIGHMARK BLUE SHIELD
PA
05
—
0017492740003
—
PA
01
—
0189129000
HMO BLUES
PA
01
—
14845
HEALTH PARTNERS
PA
01
—
2059961
AETNA US HEALTHCARE
PA
01
—
4606368
AETNA PPO
PA
01
—
46833
KEYSTONE MERCY
PA
Enumeration date
06/01/2006
Last updated
07/21/2022
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