Healthcare Provider Details

I. General information

NPI: 1487677498
Provider Name (Legal Business Name): MONVALE ORTHOPEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PLAZA DR STE 400
ROSTRAVER TOWNSHIP PA
15012-4019
US

IV. Provider business mailing address

800 PLAZA DR STE 400
ROSTRAVER TOWNSHIP PA
15012-4019
US

V. Phone/Fax

Practice location:
  • Phone: 724-379-5802
  • Fax: 724-379-5874
Mailing address:
  • Phone: 724-797-9770
  • Fax: 724-379-5874

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: BRIAN KLINE
Title or Position: ADMINISTRATOR
Credential:
Phone: 814-375-6377