Organization
ORTHOPEDIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B WILSTERMAN M.D. (PRESIDENT)
(508) 548-9423
Entity
Organization
Contact information
Practice address
5 BRAMBLE BUSH DR, FALMOUTH, MA 02540-2325
(508) 548-9423
(508) 548-5239
Mailing address
10 BRAMBLE BUSH DR, C/O ASAP MEDICAL SERVICES, FALMOUTH, MA 02540-2325
(508) 548-9423
(508) 548-5239
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
80345
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000029156
BMC HEALTHNET GROUP
MA
01
—
171098
HARVARD PILGRIM GROUP
—
01
—
667830
TUFTS GROUP NUMBER
—
05
—
9785787
—
MA
01
—
CG4764
RR MEDICARE GROUP NO.
—
01
—
WIM17214
BLUE SHIELD GROUP NUMBER
MA
Enumeration date
06/28/2006
Last updated
08/22/2020
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