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NPI Code Detail

MEDICARE: BONEGUARD ORTHOPEDICS, P.C.

MEDICARE: BONEGUARD ORTHOPEDICS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician151848MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457554727
Entity Type Code : Organization
Provider Name (Legal Business Name) : BONEGUARD ORTHOPEDICS, P.C.
Provider Business Mailing Address
First Line : 999 NORTH MAIN STREET
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-3072
Country : US
Telephone Number : 781-961-6784
Fax Number : 781-961-1127
Provider Business Practice Location Address
First Line : 999 NORTH MAIN STREET
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-3072
Country : US
Telephone Number : 781-961-6784
Fax Number : 781-961-1127
Authorized Official
Title or Position : SURGEON
Name : DR. OLAREWAJU JAMES OLADIPO
Credential : M.D.
Telephone Number : 781-961-6784
Provider Enumeration Date : 06/06/2007
Last Update Date : 01/20/2012

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Directions to “BONEGUARD ORTHOPEDICS, P.C. ” Practice Location

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