Organization
EXCEL ORTHOPEDIC SPECIALISTS
Active
Parent organization
EXCEL ORTHOPEDIC SPECIALISTS
Other names
Excel Orthopedic PT
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCEL ORTHOPEDIC SPECIALISTS
Authorized official
MRS. ELIZABETH T FULWIDER (OFFICE MANAGER)
(781) 782-1320
Entity
Organization
Contact information
Practice address
200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
(781) 782-1300
(781) 782-1350
Mailing address
200 UNICORN PARK DR STE 201, WOBURN, MA 01801-3342
(781) 782-1300
(781) 782-1350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
696135
TUFTS GROUP NUMBER
MA
01
—
Y61347
BLUE SHIELD GROUP NUMBER
MA
Enumeration date
05/16/2007
Last updated
09/13/2019
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