# PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PLYMOUTH BAY ORTHOPEDIC & SPORTS THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053582031
- **Authorized official:** R SCOTT OLIVER MD (OWNER)
- **Authorized official phone:** (781) 934-2400

## Contact information

- **Practice address:** 95 TREMONT ST, SUITE 20, DUXBURY, MA 02332-4738
- **Practice address phone:** (781) 934-7292
- **Practice address fax:** (781) 934-8112
- **Mailing address:** 95 TREMONT ST, SUITE 1, DUXBURY, MA 02332-4738
- **Mailing address phone:** (781) 934-2400
- **Mailing address fax:** (781) 934-8112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 259 | MA | Yes |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 08/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0421932 | CIGNA HEALTHCARE | MA |
| 01 | — | 621691 | HARVARD PILGRIM HEALTHCAR | MA |
| 01 | — | 805013 | TUFTS HEALTH PLAN | MA |
| 01 | — | OG0012 | BLUE SHIELD OF MASS | MA |