Organization
PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC.
Active
Other names
PLYMOUTH BAY ORTHOPEDIC & SPORTS THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
R SCOTT OLIVER MD (OWNER)
(781) 934-2400
Entity
Organization
Contact information
Practice address
95 TREMONT ST, SUITE 20, DUXBURY, MA 02332-4738
(781) 934-7292
(781) 934-8112
Mailing address
95 TREMONT ST, SUITE 1, DUXBURY, MA 02332-4738
(781) 934-2400
(781) 934-8112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421932
CIGNA HEALTHCARE
MA
01
—
621691
HARVARD PILGRIM HEALTHCAR
MA
01
—
805013
TUFTS HEALTH PLAN
MA
01
—
OG0012
BLUE SHIELD OF MASS
MA
Enumeration date
03/18/2008
Last updated
08/22/2017
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