Organization
COASTAL ORTHOPEDIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MCCOLLUM (EXECUTIVE DIRECTOR OF OPERATIONS)
(978) 927-3040
Entity
Organization
Contact information
Practice address
152 CONANT ST STE 301, BEVERLY, MA 01915-1659
(978) 927-3040
(978) 927-0443
Mailing address
152 CONANT ST STE 301, BEVERLY, MA 01915-1659
(978) 927-3040
(978) 927-0443
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/14/2006
Last updated
05/15/2023
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