Healthcare Provider Details

I. General information

NPI: 1376514943
Provider Name (Legal Business Name): PENNSYLVANIA ORTHOPEDIC ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 WELSH RD SUITE 103
HUNTINGDON VALLEY PA
19006-6357
US

IV. Provider business mailing address

727 WELSH RD SUITE 103
HUNTINGDON VALLEY PA
19006-6357
US

V. Phone/Fax

Practice location:
  • Phone: 215-947-7550
  • Fax: 215-947-0590
Mailing address:
  • Phone: 215-947-7550
  • Fax: 215-947-0590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SETH KRUM
Title or Position: PARTNER
Credential: MD
Phone: 215-947-7550