# ORTHOPEDIC SERVICES & SPORTS MEDICINE, INC.

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

## Provider details

- **NPI number:** 1386727352
- **Authorized official:** PETER A PIZZARELLO JR. MD (PRESIDENT)
- **Authorized official phone:** (401) 273-8400

## Contact information

- **Practice address:** 868 ADMIRAL ST, PROVIDENCE, RI 02904-1917
- **Practice address phone:** (401) 273-8400
- **Practice address fax:** (401) 273-9420
- **Mailing address:** 868 ADMIRAL ST, PROVIDENCE, RI 02904-1917
- **Mailing address phone:** (401) 273-8400
- **Mailing address fax:** (401) 273-9420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5773660001 | MEDICARE DME | — |