MEDICARE: ORTHOPAEDIC ASSOCIATES OF ALLENTOWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1972783520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC ASSOCIATES OF ALLENTOWN

Provider Business Mailing Address
First Line	:	PO BOX 848269
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02284-8269
Country	:	US
Telephone Number	:	610-973-1700
Fax Number	:	610-973-1778

Provider Business Practice Location Address
First Line	:	50 MOISEY DR
Second Line	:	SUITE 103
City	:	HAZLETON
State	:	PA
Zip	:	18202-9297
Country	:	US
Telephone Number	:	570-501-1033
Fax Number	:	570-501-1044

Authorized Official
Title or Position	:	PARTNER
Name	:	RICHARD BATTISTA
Credential	:	MD
Telephone Number	:	610-973-6200

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	03/24/2010

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