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Organization
ORTHOPEDIC CARE SURGERY CENTER, LLC
Active
Organization
ORTHOPEDIC CARE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CORNELISSEN M.D. (CHIEF ADMINISTRATOR)
(781) 344-3535
Entity
Organization
Contact information
Practice address
15 ROCHE BROS. WAY, EASTON, MA 02356-1000
(781) 344-3535
(781) 341-2404
Mailing address
PO BOX 30, STOUGHTON, MA 02072-0030
(781) 344-3535
(781) 341-2404
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/20/2007
Last updated
08/28/2008
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