Organization
BERKS ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LONGENECKER (OWNER)
(610) 451-8963
Entity
Organization
Contact information
Practice address
301 S 7TH AVE STE 3220, WEST READING, PA 19611-1493
(484) 628-2663
Mailing address
301 S 7TH AVE STE 3220, WEST READING, PA 19611-1493
(484) 628-2663
(484) 628-2621
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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