Provider Demographics
NPI:1376514943
Name:PENNSYLVANIA ORTHOPEDIC ASSOCIATES INC
Entity Type:Organization
Organization Name:PENNSYLVANIA ORTHOPEDIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-947-7550
Mailing Address - Street 1:727 WELSH RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6357
Mailing Address - Country:US
Mailing Address - Phone:215-947-7550
Mailing Address - Fax:215-947-0590
Practice Address - Street 1:727 WELSH RD
Practice Address - Street 2:SUITE 103
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6357
Practice Address - Country:US
Practice Address - Phone:215-947-7550
Practice Address - Fax:215-947-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
182543OtherHIGHMARK BS
PACE8429OtherTRAVELERS MEDICARE
182543OtherHIGHMARK BS
PACE8429OtherTRAVELERS MEDICARE