Provider Demographics
NPI:1730281270
Name:ORTHOPAEDIC HAND SURGERY AND REHABILITATION PC
Entity Type:Organization
Organization Name:ORTHOPAEDIC HAND SURGERY AND REHABILITATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TEASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:KELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-871-1616
Mailing Address - Street 1:4190 CITY AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1634
Mailing Address - Country:US
Mailing Address - Phone:215-871-1616
Mailing Address - Fax:215-871-1628
Practice Address - Street 1:4190 CITY AVE STE 503
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1634
Practice Address - Country:US
Practice Address - Phone:215-871-1616
Practice Address - Fax:215-871-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005320L207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE55493Medicare UPIN