Healthcare Provider Details

I. General information

NPI: 1902105638
Provider Name (Legal Business Name): MEEKS & ZILBERFARB ORTHOPEDIC ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 03/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 BEACON ST SUITE 5 WEST
BROOKLINE MA
02446-5587
US

IV. Provider business mailing address

1101 BEACON ST SUITE 5 WEST
BROOKLINE MA
02446
US

V. Phone/Fax

Practice location:
  • Phone: 617-232-2663
  • Fax:
Mailing address:
  • Phone: 617-232-2663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number StateMA

VIII. Authorized Official

Name: ROSEMARY RUGGLES
Title or Position: PRACTICE MANAGER
Credential:
Phone: 617-232-2663