Healthcare Provider Details

I. General information

NPI: 1477832780
Provider Name (Legal Business Name): COMMUNITY PHYSICIANS ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2011
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 REEDSDALE ROAD CENTER FOR ORTHOPAEDIC CARE - BIDMC MILTON
MILTON MA
02186-3881
US

IV. Provider business mailing address

199 REEDSDALE RD
MILTON MA
02186-3926
US

V. Phone/Fax

Practice location:
  • Phone: 617-313-1445
  • Fax: 617-313-1479
Mailing address:
  • Phone: 617-313-1907
  • Fax: 617-313-1565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number246949
License Number StateMA

VIII. Authorized Official

Name: SHEILAH RANGAVIZ
Title or Position: CFO
Credential:
Phone: 617-313-1350