Healthcare Provider Details

I. General information

NPI: 1477600864
Provider Name (Legal Business Name): EASTERN PENNSYLVANIA ORTHOPEDIC ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S 17TH ST FL 30
PHILADELPHIA PA
19103-6207
US

IV. Provider business mailing address

255 S 17TH ST FL 30
PHILADELPHIA PA
19103-6207
US

V. Phone/Fax

Practice location:
  • Phone: 215-735-5911
  • Fax:
Mailing address:
  • Phone: 215-735-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS003472L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MS. CYNTHIA LEE PIERAMI
Title or Position: MANAGER
Credential:
Phone: 215-735-5911