Provider Demographics
NPI:1396775367
Name:ORTHOPAEDIC ASSOCIATES OF ALLENTOWN
Entity type:Organization
Organization Name:ORTHOPAEDIC ASSOCIATES OF ALLENTOWN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-973-6200
Mailing Address - Street 1:250 CETRONIA ROAD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-973-6200
Mailing Address - Fax:610-973-6534
Practice Address - Street 1:4652 BROADWAY STE A
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3214
Practice Address - Country:US
Practice Address - Phone:570-386-9910
Practice Address - Fax:610-973-6489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA002346400OtherCAPITAL BLUE CROSS
PAAETNAOther54707
PA797893OtherHIGHMARK BLUE SHIELD
PA797893OtherKEYSTONE CENTRAL
PA=========OtherDEVON
PA=========OtherTRICARE