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Organization
ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC.
Active
Organization
ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DOUGLAS MOULTON P.T. (PRESIDENT)
(978) 685-8059
Entity
Organization
Contact information
Practice address
231 SUTTON ST, SUITE 1C, NORTH ANDOVER, MA 01845
(978) 685-8059
(978) 685-6421
Mailing address
231 SUTTON ST, SUITE 1C, NORTH ANDOVER, MA 01845-1620
(978) 685-8059
(978) 685-6421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
186
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005861
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0029570
AETNA
MA
01
—
622672
HARVARD PILGRIM
MA
01
—
702745
TUFTS HEALTH PLAN
MA
05
—
9721401
—
MA
01
—
97258201
NETWORK HEALTH
MA
01
—
Y65560
BLUE CROSS
MA
Enumeration date
02/15/2007
Last updated
07/19/2018
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