Provider Demographics
NPI:1720015696
Name:ORTHOPAEDIC SURGICAL ASSOCIATES,PA
Entity Type:Organization
Organization Name:ORTHOPAEDIC SURGICAL ASSOCIATES,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-522-4555
Mailing Address - Street 1:33 OVERLOOK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3570
Mailing Address - Country:US
Mailing Address - Phone:908-522-4555
Mailing Address - Fax:908-522-1128
Practice Address - Street 1:33 OVERLOOK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3570
Practice Address - Country:US
Practice Address - Phone:908-522-4555
Practice Address - Fax:908-522-1128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
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
NJOR527265Medicare ID - Type UnspecifiedGROUP PRACTICE MEDICARE #