Organization
ORTHOPAEDICS NORTHEAST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL LEAHY (OFFICE MANAGER)
(978) 327-6561
Entity
Organization
Contact information
Practice address
575 TURNPIKE ST, SUITE 11, N ANDOVER, MA 01845-5924
(978) 794-1946
(978) 975-3925
Mailing address
575 TURNPIKE ST, SUITE 11, N ANDOVER, MA 01845-5924
(978) 794-1946
(978) 975-3925
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9740457
—
MA
Enumeration date
10/18/2005
Last updated
04/20/2012
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