Provider Demographics
NPI:1285829358
Name:ORTHOPEDIC & HAND SPECIALISTS, PC
Entity Type:Organization
Organization Name:ORTHOPEDIC & HAND SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOUBAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIDIZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-660-8110
Mailing Address - Street 1:231 SAINT ASAPHS RD
Mailing Address - Street 2:SUITE 621
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1403
Mailing Address - Country:US
Mailing Address - Phone:610-660-8110
Mailing Address - Fax:
Practice Address - Street 1:231 SAINT ASAPHS RD
Practice Address - Street 2:SUITE 621
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1403
Practice Address - Country:US
Practice Address - Phone:610-660-8110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207X00000X207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB37688Medicare UPIN
PA131678Medicare PIN