Provider Demographics
NPI:1801845227
Name:PHILADELPHIA ORTHOPAEDIC ASSOCIATES INC.
Entity Type:Organization
Organization Name:PHILADELPHIA ORTHOPAEDIC ASSOCIATES INC.
Other - Org Name:PHILADELPHIA ORTHOPAEDIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-334-3350
Mailing Address - Street 1:2410 14 SOUTH BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145
Mailing Address - Country:US
Mailing Address - Phone:215-334-3350
Mailing Address - Fax:215-336-6980
Practice Address - Street 1:2410 14 SOUTH BROAD STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145
Practice Address - Country:US
Practice Address - Phone:215-334-3350
Practice Address - Fax:215-336-6980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0829668000OtherKHMV
PA0032976OtherUS HEALTHCARE
PA777631OtherBS
PA0829668000OtherKHMV