# ORTHOPAEDIC SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578502068
- **Legal business name:** ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA
- **Authorized official:** MR. WILLIAM JOHN WIPFLER JD,MBA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (207) 828-2100

## Contact information

- **Practice address:** 33 SEWALL ST, PORTLAND, ME 04102-2603
- **Practice address phone:** (207) 828-2100
- **Practice address fax:** (207) 828-2190
- **Mailing address:** PO BOX 1260, PORTLAND, ME 04104-1260
- **Mailing address phone:** (207) 828-2100
- **Mailing address fax:** (207) 828-2190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 36165 | ME | Yes |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 08/26/2009