Healthcare Provider Details

I. General information

NPI: 1578101572
Provider Name (Legal Business Name): ORTHOPEDICS NEW ENGLAND, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LUMBER ST
HOPKINTON MA
01748-2363
US

IV. Provider business mailing address

313 SPEEN ST
NATICK MA
01760-1538
US

V. Phone/Fax

Practice location:
  • Phone: 508-720-3630
  • Fax:
Mailing address:
  • Phone: 508-720-3630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: SEAN E. ROCKETT
Title or Position: PRESIDENT
Credential:
Phone: 508-720-3630