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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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