Provider Demographics
NPI:1093595860
Name:DARCO ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:DARCO ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DARCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-816-5800
Mailing Address - Street 1:15 ALLIANCE STREET
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:17959-1101
Mailing Address - Country:US
Mailing Address - Phone:570-628-6858
Mailing Address - Fax:570-628-4054
Practice Address - Street 1:15 ALLIANCE STREET
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:17959-1101
Practice Address - Country:US
Practice Address - Phone:570-628-6858
Practice Address - Fax:570-628-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty