Provider Demographics
NPI:1821039702
Name:3B ORTHOPAEDICS,P.C.
Entity Type:Organization
Organization Name:3B ORTHOPAEDICS,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:EMREY
Authorized Official - Last Name:BOOTH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-829-2499
Mailing Address - Street 1:PO BOX 828079
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-8079
Mailing Address - Country:US
Mailing Address - Phone:215-829-2499
Mailing Address - Fax:215-829-2487
Practice Address - Street 1:800 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-6130
Practice Address - Country:US
Practice Address - Phone:215-829-2499
Practice Address - Fax:215-829-2487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2060454OtherAETNA
NJ2312077OtherAETNA
PA0724369000OtherI.B.C.
NJ0495271000OtherI.B.C.
PA0724369000OtherI.B.C.
NJ2312077OtherAETNA