Organization
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY POLANSKY M.D. (PRESIDENT)
(978) 818-6350
Entity
Organization
Contact information
Practice address
30 TOZER RD, BEVERLY, MA 01915-5510
(978) 818-6350
(978) 818-6355
Mailing address
1 ORTHOPEDICS DR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9773363
—
MA
Enumeration date
04/14/2017
Last updated
11/13/2025
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