Organization
SUBURBAN SPINE AND ORTHOPEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
1204 BALTIMORE PIKE STE 303, CHADDS FORD, PA 19317-7374
(610) 558-1001
(610) 558-1180
Mailing address
1204 BALTIMORE PIKE STE 303, CHADDS FORD, PA 19317-7374
(610) 558-1001
(610) 558-1180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS009073L
PA
332900000X
Non-Pharmacy Dispensing Site
Primary
OS009073L
PA
Other
Enumeration date
06/29/2016
Last updated
07/21/2022
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