Healthcare Provider Details

I. General information

NPI: 1144758913
Provider Name (Legal Business Name): ADAM E ROY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ORTHOPEDICS DR
PEABODY MA
01960-1668
US

IV. Provider business mailing address

1 ORTHOPEDICS DR
PEABODY MA
01960-1668
US

V. Phone/Fax

Practice location:
  • Phone: 978-818-6350
  • Fax: 978-818-6355
Mailing address:
  • Phone: 978-818-6350
  • Fax: 978-818-6355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number271075
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: