Organization
HERITAGE PARK ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR A CONFORTI MD (PRESIDENT)
(978) 452-9914
Entity
Organization
Contact information
Practice address
817 MERRIMACK ST, LOWELL, MA 01854-3571
(978) 452-9914
(978) 453-0069
Mailing address
817 MERRIMACK ST, LOWELL, MA 01854-3571
(978) 452-9914
(978) 453-0069
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9769692
—
MA
Enumeration date
01/30/2007
Last updated
01/31/2012
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