Provider Demographics
NPI:1164462859
Name:QUAKERTOWN ORTHOPAEDIC ASSOCIATES
Entity Type:Organization
Organization Name:QUAKERTOWN ORTHOPAEDIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GRETCHEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:STRZELECKI
Authorized Official - Suffix:
Authorized Official - Credentials:CMM
Authorized Official - Phone:215-538-1484
Mailing Address - Street 1:28 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1147
Mailing Address - Country:US
Mailing Address - Phone:215-538-1484
Mailing Address - Fax:215-538-1825
Practice Address - Street 1:28 S 14TH ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1147
Practice Address - Country:US
Practice Address - Phone:215-538-1484
Practice Address - Fax:215-538-1825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0021810000OtherIBC
PA113194OtherHIGHMARK BLUE SHIELD
PA5984OtherAETNA
PA0021810000OtherIBC