Provider Demographics
NPI:1851592901
Name:SPRAINS, STRAINS & FRACTURES, LLC
Entity Type:Organization
Organization Name:SPRAINS, STRAINS & FRACTURES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MITCHELL
Authorized Official - Last Name:DALSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-795-9222
Mailing Address - Street 1:807 N HADDON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1749
Mailing Address - Country:US
Mailing Address - Phone:856-795-9222
Mailing Address - Fax:856-795-0026
Practice Address - Street 1:2090 SPRINGDALE RD
Practice Address - Street 2:SUITE C
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2024
Practice Address - Country:US
Practice Address - Phone:856-795-9222
Practice Address - Fax:856-795-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
6244510001Medicare NSC