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FIRST STATE ORTHOPAEDICS PA NPI 1689227456


NPI Information

NPI: 1689227456
Provider Name: FIRST STATE ORTHOPAEDICS, PA
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 08D0717313

Address:
12100 BLACK SWAN DRIVE
SUITE 101
LEWES, DE
ZIP 19958
Phone: (302) 731-2888
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FIRST STATE ORTHOPAEDICS, PA is a radiology clinic center in Lewes, DE. FIRST STATE ORTHOPAEDICS, PA NPI is 1689227456. The provider is registered as an organization entity type.

The provider's business location address is:

12100 BLACK SWAN DRIVE
SUITE 101
LEWES, DE
ZIP 19958
Phone: (302) 731-2888
Fax: (302) 731-7049

The provider's authorized official is David Blaeuer .
The authorized official title is Executive Director and has the following contact phone number (302) 731-2888.

The CLIA number assigned to this NPI record is 08D0717313 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2019 and was last updated on 7/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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