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Organization
ORTHOPEDIC CARE SPECIALISTS INC.
Active
Organization
ORTHOPEDIC CARE SPECIALISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CORNELISSEN MD (OWNER/MEMBER)
(781) 344-3535
Entity
Organization
Contact information
Practice address
20 ROCHE BROS WAY UNIT 1, NORTH EASTON, MA 02356-1030
(781) 573-1686
(781) 573-1696
Mailing address
15 ROCHE BROS WAY, NORTH EASTON, MA 02356-1000
(781) 344-3535
(781) 573-1696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
332
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013738
NHP PT & OT PROVIDER #
MA
01
—
602587
TUFTS GROUP PROVIDER #
MA
01
—
626575
HPHC GROUP PROVIDER #
MA
05
—
9702911
—
MA
01
—
Y61349
BC BS GROUP PROVIDER #
MA
Enumeration date
03/23/2007
Last updated
03/22/2018
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