Organization
MUSCULOSKELETAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS OLIVER HALSTED (PHYSICIAN OWNER)
(978) 531-0800
Entity
Organization
Contact information
Practice address
4 CENTENNIAL DR, SUITE 201, PEABODY, MA 01960-7935
(978) 531-0800
(978) 531-2929
Mailing address
4 CENTENNIAL DR, SUITE 201, PEABODY, MA 01960-7935
(978) 531-0800
(978) 531-2929
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602874
TUFTS
MA
05
—
9740830
—
MA
01
—
M19076
BCBS
MA
Enumeration date
01/25/2007
Last updated
08/22/2020
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