First State Orthopaedics, PA

NPI #1689227456 in Lewes, Delaware

Provider Information

NPI Number: 1689227456
Entity Type: Organization
Organization Name: First State Orthopaedics, PA
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 12100 BLACK SWAN DRIVE
Address 2: SUITE 101
City: Lewes
State: Delaware
ZIP Code: 19958
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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