Organization
ORTHOPEDIC CARE PHYSICIAN NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA DECOUTO (CREDENTIALING COORDINATOR)
(508) 496-5537
Entity
Organization
Contact information
Practice address
89 FORBES BLVD STE 1000, MANSFIELD, MA 02048-1281
(781) 344-3535
(781) 341-2404
Mailing address
15 ROCHE BROTHERS WAY STE 200, NORTH EASTON, MA 02356-1000
(781) 573-1673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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