Organization
ORTHOPEDIC AFFILIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE RICHARD (CEO)
(978) 369-5391
Entity
Organization
Contact information
Practice address
54 BAKER AVENUE EXT, SUITE 200, CONCORD, MA 01742-2137
(978) 369-5391
(978) 369-7661
Mailing address
54 BAKER AVENUE EXT, SUITE 200, CONCORD, MA 01742-2137
(978) 369-5391
(978) 369-7661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19200
FALLON COMMUNITY HP
MA
01
—
600190
TUFTS HEALTH PLAN
MA
01
—
600190
USFHP
—
01
—
CA9820
RAILROAD MEDICARE-PALMETT
—
01
—
M14423
BCBS-MA
MA
01
—
P0501878
GHI PPO
—
Enumeration date
11/28/2006
Last updated
08/18/2025
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