Organization
ORTHOPEDIC CARE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CORNELISSEN M.D. (CHIEF ADMINISTRATOR)
(781) 344-3535
Entity
Organization
Contact information
Practice address
15 ROCHE BROS. WAY, EASTON, MA 02356-1000
(781) 344-3535
(781) 341-2404
Mailing address
PO BOX 30, STOUGHTON, MA 02072-0030
(781) 344-3535
(781) 341-2404
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0770688
COMMONWEALTH INDEMNITY
MA
05
—
1855271
—
MA
01
—
650926
TUFTS HEALTH PLAN
MA
01
—
M88045
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/20/2007
Last updated
08/28/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us