Organization
ORTHOPEDIC CARE PHYSICIAN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON CORNELISSEN MD (PHYSICIAN/PARTNER)
(781) 344-3535
Entity
Organization
Contact information
Practice address
675 PARAMOUNT DR, SUITE 205, RAYNHAM, MA 02767-5416
(508) 828-5848
Mailing address
15 ROCHE BROTHERS WAY, NORTH EASTON, MA 02356-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/17/2014
Last updated
04/25/2017
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