Organization
ARTHROSCOPY SPORTS MEDICINE AND MINIMALLY INVASIVE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS MCGLOWAN JR. MD (OWNER)
(781) 618-1944
Entity
Organization
Contact information
Practice address
49 PEARL ST, BROCKTON, MA 02301-2878
(781) 618-1944
(781) 618-1947
Mailing address
49 PEARL ST, BROCKTON, MA 02301-2878
(781) 618-1944
(781) 618-1947
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
210655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081851A
—
MA
01
—
M19565
BCBS
MA
Enumeration date
01/09/2008
Last updated
11/28/2023
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