Organization Name: | RIDGEWOOD ORTHOPAEDIC SPECIALISTS |
NPI Number: | 1215053699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STANLEY LAWRENCE GRABIAS (MEDICAL DIRECTOR) |
Mailing Address: | 2201 Ridgewood Rd Suite 200 Wyomissing |
State: | PA US |
Postal Code: | 196101189 |
Phone Number: | 6103756226 |
Fax Number: | 6103756200 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 08/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD012376E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |