Organization
CONCORD ORTHOPEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WADE BLUTE JR. MD (PRESIDENT)
(978) 369-1337
Entity
Organization
Contact information
Practice address
290 BAKER AVE, CONCORD, MA 01742-2189
(978) 369-1337
(978) 371-3164
Mailing address
290 BAKER AVE, CONCORD, MA 01742-2189
(978) 369-1337
(978) 371-3164
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700003
TUFTS HEALTH PLAN
MA
01
—
CB4652
RR MEDICARE
—
01
—
M13486
BCBS
MA
Enumeration date
11/15/2006
Last updated
08/22/2020
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