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Contact Information

PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
1 BARTOL AVE
STE 100
RIDLEY PARK, PA19078-2214
 Phone: 610-521-8970
 Fax: 610-521-3983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD

NPI # 1184944167
LBN Legal business name PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Authorized official KIM STOTT - (ADMINISTRATIVE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2010
Last updated 02/10/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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