Provider Demographics
NPI:1841753365
Name:PENNSYLVANIA REGIONAL ORTHOPEDICS LLC
Entity Type:Organization
Organization Name:PENNSYLVANIA REGIONAL ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:REINHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-346-5252
Mailing Address - Street 1:PO BOX 1507
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-6507
Mailing Address - Country:US
Mailing Address - Phone:215-346-5252
Mailing Address - Fax:215-355-9493
Practice Address - Street 1:260 KNOWLES AVE STE 226
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-1556
Practice Address - Country:US
Practice Address - Phone:215-346-5252
Practice Address - Fax:717-918-1852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty