Keystone Orthopaedic Specialists Group LLC

NPI #1326323098 in Wyomissing, Pennsylvania

Provider Information

NPI Number: 1326323098
Entity Type: Organization
Organization Name: Keystone Orthopaedic Specialists Group LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 13, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 1270 BROADCASTING RD
City: Wyomissing
State: Pennsylvania
ZIP Code: 19610-3203
Phone: (610) 376-5600

Authorized Official

Name: DR. STEPHEN PATRICK BANCO, M.D.
Title: PRESIDENT
Phone: (610) 372-1140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Orthopaedic Surgery	207X00000X	Primary

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