Organization
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
Active
Parent organization
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC
Authorized official
DR. JEFFREY POLANSKY M.D (PRESIDENT)
(978) 818-6350
Entity
Organization
Contact information
Practice address
1 ORTHOPEDICS DR, 2ND FLOOR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Mailing address
1 ORTHOPEDICS DR, 2ND FLOOR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9773363
—
MA
Enumeration date
04/25/2011
Last updated
04/25/2011
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