Healthcare Provider Details

I. General information

NPI: 1477765287
Provider Name (Legal Business Name): BERKS COUNTY ORTHOPEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 WALNUT STREET, 2ND FLOOR
READING PA
19601
US

IV. Provider business mailing address

438 WALNUT STREET, 2ND FLOOR
READING PA
19601
US

V. Phone/Fax

Practice location:
  • Phone: 610-375-4002
  • Fax:
Mailing address:
  • Phone: 610-375-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. LETICIA MARRERO
Title or Position: OFFICE MANAGER
Credential:
Phone: 610-375-4002