Organization
AGILITY WPHO-THP INC
Active
Other names
Agility Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM SHURLAND MD (PARTNER/AUTHORIZED OFFICIAL)
(781) 279-7040
Entity
Organization
Contact information
Practice address
92 MONTVALE AVE, SUITE 1400, STONEHAM, MA 02180-3647
(781) 279-7040
(781) 279-8430
Mailing address
92 MONTVALE AVE, SUITE 1400, STONEHAM, MA 02180-3647
(781) 279-7040
(781) 279-8430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M12363
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/27/2016
Last updated
02/20/2020
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