Healthcare Provider Details

I. General information

NPI: 1548281488
Provider Name (Legal Business Name): PLYMOUTH BAY ORTHOPEDIC ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 TREMONT ST SUITE ONE
DUXBURY MA
02332-4738
US

IV. Provider business mailing address

95 TREMONT ST SUITE ONE
DUXBURY MA
02332-4738
US

V. Phone/Fax

Practice location:
  • Phone: 781-934-2400
  • Fax:
Mailing address:
  • Phone: 781-934-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NED HOCHMUTH
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 781-934-2400