Healthcare Provider Details

I. General information

NPI: 1437168846
Provider Name (Legal Business Name): JOSHUA D PLETKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 TURNPIKE ST SUITE 11
NORTH ANDOVER MA
01845-5924
US

IV. Provider business mailing address

575 TURNPIKE ST SUITE 11
NORTH ANDOVER MA
01845-5924
US

V. Phone/Fax

Practice location:
  • Phone: 978-794-1946
  • Fax: 978-975-3925
Mailing address:
  • Phone: 978-794-1946
  • Fax: 978-975-3925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number17729
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number17729
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number268454
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number268454
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: