Healthcare Provider Details

I. General information

NPI: 1609733526
Provider Name (Legal Business Name): SYNERGY SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 DUNHAM RIDGE ROAD SUITE 4350
BEVERLY MA
01915
US

IV. Provider business mailing address

48 DUNHAM RIDGE ROAD SUITE 4350
BEVERLY MA
01915
US

V. Phone/Fax

Practice location:
  • Phone: 315-415-8600
  • Fax:
Mailing address:
  • Phone: 315-415-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS MULROY
Title or Position: OWNER
Credential: MD
Phone: 315-415-8600