Organization
NORTH SHORE CENTER FOR ORTHOPEDIC SURGERY & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY M PETERSON D.O. (OWNER/MANAGER)
(978) 774-3400
Entity
Organization
Contact information
Practice address
4 STATE RD, DANVERS, MA 01923-2567
(978) 774-3400
(978) 774-5883
Mailing address
4 STATE RD, DANVERS, MA 01923-2567
(978) 774-3400
(978) 774-5883
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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