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Organization

ORTHOPEDIC SERVICES & SPORTS MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER A PIZZARELLO JR. MD (PRESIDENT)
(401) 273-8400
Entity
Organization

Contact information

Practice address
868 ADMIRAL ST, PROVIDENCE, RI 02904-1917
(401) 273-8400
(401) 273-9420
Mailing address
868 ADMIRAL ST, PROVIDENCE, RI 02904-1917
(401) 273-8400
(401) 273-9420

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5773660001
MEDICARE DME
Enumeration date
10/23/2006
Last updated
08/13/2008
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