Healthcare Provider Details

I. General information

NPI: 1568467199
Provider Name (Legal Business Name): JAMES WALTER SNEAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 06/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 COUNTY ST
ATTLEBORO MA
02703-3511
US

IV. Provider business mailing address

281 COUNTY ST
ATTLEBORO MA
02703-3511
US

V. Phone/Fax

Practice location:
  • Phone: 508-226-2213
  • Fax: 508-431-2637
Mailing address:
  • Phone: 508-226-2213
  • Fax: 508-431-2637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number230876
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number230876
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: