Healthcare Provider Details

I. General information

NPI: 1235174699
Provider Name (Legal Business Name): ORTHOPAEDIC ASSOCIATES OF MARLBORO, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 FREMONT ST
MARLBORO MA
01752-1271
US

IV. Provider business mailing address

65 FREMONT ST OFC 1
MARLBOROUGH MA
01752-1271
US

V. Phone/Fax

Practice location:
  • Phone: 508-485-3665
  • Fax:
Mailing address:
  • Phone: 508-485-3665
  • Fax: 508-485-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA HUNT
Title or Position: BUSINESS OFFICE LEAD
Credential:
Phone: 508-485-3665