Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MALUMED MD (PRESIDENT)
(610) 521-8970
Entity
Organization
Contact information
Practice address
213 REECEVILLE RD STE 14, COATESVILLE, PA 19320-1585
(610) 644-6900
(610) 482-9409
Mailing address
PO BOX 5228, WEST CHESTER, PA 19380-0405
(610) 359-5671
(610) 482-9409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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