First State Orthopaedics PA

NPI #1316294218 in Newark, Delaware

Provider Information

NPI Number: 1316294218
Entity Type: Organization
Organization Name: First State Orthopaedics PA
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Aug 9, 2012
Last Updated: Aug 23, 2017

Practice Location

Address: 1000 TWIN C LN
Address 2: SUIT 100
City: Newark
State: Delaware
ZIP Code: 19713-2139
Phone: (302) 731-2888

Authorized Official

Name: DAVID BLAEUER
Title: EXECUTIVE DIRECTOR
Phone: (302) 731-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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