MEDICARE: BOSTON ORTHOPAEDIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	225100000X	Physical Therapist
2	225700000X	Massage Therapist
3	111N00000X	Chiropractor	MA
4	207X00000X	Orthopaedic Surgery Physician	MA

General Provider Information

NPI Number	:	1578002366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOSTON ORTHOPAEDIC PC

Provider Business Mailing Address
First Line	:	111 EVERETT AVE
Second Line	:	SUITE 1A
City	:	CHELSEA
State	:	MA
Zip	:	02150-2385
Country	:	US
Telephone Number	:	781-235-3992
Fax Number	:	781-235-3996

Provider Business Practice Location Address
First Line	:	111 EVERETT AVE
Second Line	:	SUITE 1A
City	:	CHELSEA
State	:	MA
Zip	:	02150-2385
Country	:	US
Telephone Number	:	781-235-3992
Fax Number	:	781-235-3996

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. WILLIAM MULROY
Credential	:	M.D.
Telephone Number	:	781-235-3992

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	04/03/2017

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Directions to “BOSTON ORTHOPAEDIC PC ” Practice Location

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