Provider Demographics
NPI:1992122782
Name:TITLEMAN ORTHOPEDICS LLC
Entity type:Organization
Organization Name:TITLEMAN ORTHOPEDICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-205-2527
Mailing Address - Street 1:1100 E HECTOR ST STE 390
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2390
Mailing Address - Country:US
Mailing Address - Phone:888-990-2653
Mailing Address - Fax:610-862-3927
Practice Address - Street 1:1100 E HECTOR ST STE 390
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428
Practice Address - Country:US
Practice Address - Phone:888-990-2653
Practice Address - Fax:610-862-3927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
PA4249672335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier