Individual
DR. ONALY A KAPASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAOS
Contact information
Practice address
80 BRIDGE ST, DEDHAM, MA 02026-1765
(781) 326-0077
(781) 326-0077
Mailing address
80 BRIDGE ST, DEDHAM, MA 02026-1765
(781) 326-0077
(781) 326-4300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
040613
MA
208VP0000X
Pain Medicine Physician
040613
MA
208VP0014X
Interventional Pain Medicine Physician
040613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074702
—
MA
01
—
B3358001
MEDICARE PTAN
MA
01
—
B3358002
MEDICARE -PTAN
MA
Enumeration date
12/14/2006
Last updated
09/22/2008
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