| NPI | 1508012691 |
|---|---|
| Other Name | NORTHEASTERN ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | WOODARD TONYA Director Payer Credentialing 215-707-3911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 363A00000X Physician Assistant | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2025-11-24 |