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Organization

EXCEL ORTHOPEDIC SPECIALISTS

Active
Parent organization
EXCEL ORTHOPEDIC SPECIALISTS
Other names
Excel Orthopedic OT
Organization subpart
Yes

Provider details

NPI number
Legal business name
EXCEL ORTHOPEDIC SPECIALISTS
Authorized official
MRS. ELIZABETH T FULWIDER (OFFICE MANAGER)
(781) 782-1320
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
09/13/2019
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