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Organization

SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC

Active
Parent organization
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
Authorized official
DAVID J FEHNEL MD (PRESIDENT)
(978) 818-6350
Entity
Organization

Contact information

Practice address
20 HENRY GRAF JR ROAD, NEWBURYPORT, MA 01950
(978) 818-6350
(978) 818-6355
Mailing address
1 ORTHOPEDICS DR, 2ND FLOOR, 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
01
M15814
MEDICARE
MA
Enumeration date
08/05/2009
Last updated
11/13/2025
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