# CONCORD ORTHOPEDICS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093888620
- **Authorized official:** DR. JOHN WADE BLUTE JR. MD (PRESIDENT)
- **Authorized official phone:** (978) 369-1337

## Contact information

- **Practice address:** 290 BAKER AVE, CONCORD, MA 01742-2189
- **Practice address phone:** (978) 369-1337
- **Practice address fax:** (978) 371-3164
- **Mailing address:** 290 BAKER AVE, CONCORD, MA 01742-2189
- **Mailing address phone:** (978) 369-1337
- **Mailing address fax:** (978) 371-3164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020