Provider Demographics
NPI:1194971192
Name:ADVANCED ORTHOPEDICS OF READING, LLC
Entity type:Organization
Organization Name:ADVANCED ORTHOPEDICS OF READING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-372-7200
Mailing Address - Street 1:2211 QUARRY DR
Mailing Address - Street 2:SUITE E52
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1161
Mailing Address - Country:US
Mailing Address - Phone:610-372-7200
Mailing Address - Fax:610-927-6924
Practice Address - Street 1:2211 QUARRY DRIVE
Practice Address - Street 2:SUITE E52
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1161
Practice Address - Country:US
Practice Address - Phone:610-372-7200
Practice Address - Fax:610-927-6924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008034L207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
003637081OtherINDEPENDENCE BLUE CROSS
PA1033030970001Medicaid
PA0016823800009Medicaid