Provider Demographics
NPI:1760993000
Name:ORTHOPEDIC SURGERY & REHABILITATION ASSOCIATES LLC
Entity Type:Organization
Organization Name:ORTHOPEDIC SURGERY & REHABILITATION ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'HARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-745-4050
Mailing Address - Street 1:888 FOX CHASE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:PA
Mailing Address - Zip Code:19046-4437
Mailing Address - Country:US
Mailing Address - Phone:215-745-4050
Mailing Address - Fax:215-663-9388
Practice Address - Street 1:888 FOX CHASE RD
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:PA
Practice Address - Zip Code:19046-4437
Practice Address - Country:US
Practice Address - Phone:215-379-6772
Practice Address - Fax:215-663-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty