Provider Demographics
NPI:1306231030
Name:RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, P.C.
Entity Type:Organization
Organization Name:RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-339-3500
Mailing Address - Street 1:400 ENTERPRISE DR
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-1215
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:610-495-1587
Practice Address - Street 1:400 ENTERPRISE DR
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1215
Practice Address - Country:US
Practice Address - Phone:800-321-9999
Practice Address - Fax:610-495-1587
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, P.C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-31
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier