Organization
EXCEL ORTHOPAEDIC SPECIALISTS INC
Active
Parent organization
EXCEL ORTHOPAEDIC SPECIALISTS INC
Other names
Excel Orthopedic OT
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCEL ORTHOPAEDIC SPECIALISTS INC
Authorized official
KAREN IANNICIELLO (CREDENTIALING COORDINATOR)
(781) 782-1300
Entity
Organization
Contact information
Practice address
200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
(781) 782-1300
(781) 782-1350
Mailing address
200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
(781) 782-1300
(781) 782-1350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OG0008
BLUE SHIELD GROUP NUMBER
MA
Enumeration date
05/16/2007
Last updated
05/27/2026
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