Organization
ORTHOPEDIC CARE PHYSICIAN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON CORNELISSEN MD (OWNER/PROVIDER)
(781) 344-3535
Entity
Organization
Contact information
Practice address
225 WATER ST STE C105, PLYMOUTH, MA 02360-4026
(781) 344-3535
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/12/2015
Last updated
05/11/2022
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