Basic Information
| Provider Information | |||||||||
| NPI: | 1982144358 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ORTHOPAEDIC SPECIALISTS PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 375 E ELM ST STE 110 | ||||||||
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| City: | CONSHOHOCKEN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194281973 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9083709104 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4001 KRESGE WAY | ||||||||
| Address2: | SUITE 330 | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402074640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5022122663 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2017 | ||||||||
| LastUpdateDate: | 03/03/2017 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | NIRALI | ||||||||
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| AuthorizedOfficialTitleorPosition: | BUISNESS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9083709104 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PHARMD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332900000X | 33575 | KY | Y | Suppliers | Non-Pharmacy Dispensing Site |
No ID Information.