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Organization

SEACOAST ORTHOPEDICS AND SPORTS MEDICINE LLC

Active
Parent organization
SEACOAST ORTHOPEDIC ASSOC INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEACOAST ORTHOPEDIC ASSOC INC
Authorized official
DR. KENNETH J GLAZIER MD (PRESIDENT)
(978) 462-7555
Entity
Organization

Contact information

Practice address
21 HIGHLAND AVE, SUITE 16, NEWBURYPORT, MA 01950-3872
(978) 462-7555
Mailing address
21 HIGHLAND AVE, SUITE 16, NEWBURYPORT, MA 01950-3872
(978) 462-7555

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/22/2014
Last updated
08/22/2014
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