Provider Demographics
NPI:1942530217
Name:KEYSTONE ORTHOPAEDIC SPECIALISTS
Entity Type:Organization
Organization Name:KEYSTONE ORTHOPAEDIC SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:REES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:610-376-8671
Mailing Address - Street 1:620 LEE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5650
Mailing Address - Country:US
Mailing Address - Phone:484-321-5412
Mailing Address - Fax:610-687-0197
Practice Address - Street 1:2201 RIDGEWOOD RD
Practice Address - Street 2:SUITE 250
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1189
Practice Address - Country:US
Practice Address - Phone:610-375-4949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies