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NPI Code Detail

MEDICARE: ORTHOPAEDICS NORTHEAST, P.C.

MEDICARE: ORTHOPAEDICS NORTHEAST, 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
1207RR0500XRheumatology Physician
2208100000XPhysical Medicine & Rehabilitation Physician
3213ES0103XFoot & Ankle Surgery Podiatrist
4207XS0117XOrthopaedic Surgery of the Spine Physician
5207X00000XOrthopaedic Surgery Physician

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 : 1467441923
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPAEDICS NORTHEAST, P.C.
Provider Business Mailing Address
First Line : 29 STILES RD
Second Line : SUITE 102
City : SALEM
State : NH
Zip : 03079-5802
Country : US
Telephone Number : 603-898-2220
Fax Number : 603-890-6378
Provider Business Practice Location Address
First Line : 29 STILES RD
Second Line : SUITE 102
City : SALEM
State : NH
Zip : 03079-2859
Country : US
Telephone Number : 603-898-2220
Fax Number : 603-890-6378
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. JILL LEAHY
Credential :
Telephone Number : 978-327-6561
Provider Enumeration Date : 10/18/2005
Last Update Date : 02/02/2017

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1871770693 — VALLEY REGIONAL MEDICAL SERVICES
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Directions to “ORTHOPAEDICS NORTHEAST, P.C. ” Practice Location

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