Individual
DR. ERROL S MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ORTHOPEDIC SURGERY, WORCESTER, MA 01655-0002
(508) 856-4065
(508) 856-5170
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
81083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055751A
—
MA
Enumeration date
12/01/2005
Last updated
10/28/2020
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