Organization
ORTHOPEDIC ASSOCIATES OF SO WORCESTER COUNTY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A VENEZLANO (PRESIDENT)
(508) 764-2587
Entity
Organization
Contact information
Practice address
100 SOUTH ST STE 108, SOUTHBRIDGE, MA 01550-4051
(508) 764-2587
(508) 765-5199
Mailing address
100 SOUTH ST STE 108, SOUTHBRIDGE, MA 01550-4051
(508) 764-2587
(508) 765-5199
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9718583
—
MA
Enumeration date
08/29/2006
Last updated
04/25/2008
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