Healthcare Provider Details

I. General information

NPI: 1790059335
Provider Name (Legal Business Name): OLNEY ORTHOPEDICS & THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2012
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 W NEDRO AVE
PHILADELPHIA PA
19120-2458
US

IV. Provider business mailing address

PO BOX
PHILADELPHIA PA
19105-3961
US

V. Phone/Fax

Practice location:
  • Phone: 215-548-0202
  • Fax:
Mailing address:
  • Phone: 215-735-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NORMAN B. STEMPLER
Title or Position: MEDICAL DIRECTOR
Credential: D.O.
Phone: 215-735-5911