Organization
ORTHOPAEDICS NORTHEAST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL LEAHY (OFFICE MANAGER)
(978) 327-6561
Entity
Organization
Contact information
Practice address
29 STILES RD, SUITE 102, SALEM, NH 03079-2859
(603) 898-2220
(603) 890-6378
Mailing address
29 STILES RD, SUITE 102, SALEM, NH 03079-5802
(603) 898-2220
(603) 890-6378
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096693
—
NH
Enumeration date
10/18/2005
Last updated
02/02/2017
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