Provider Demographics
NPI:1881911436
Name:KEYSTONE ORTHOPAEDIC SPECIALISTS
Entity type:Organization
Organization Name:KEYSTONE ORTHOPAEDIC SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:REES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:610-376-8671
Mailing Address - Street 1:620 LEE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5650
Mailing Address - Country:US
Mailing Address - Phone:484-321-5412
Mailing Address - Fax:610-687-0197
Practice Address - Street 1:4920 PENN AVE
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-9670
Practice Address - Country:US
Practice Address - Phone:610-898-0674
Practice Address - Fax:610-898-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies