Sports Medicine North Orthopaedic Surgery, Inc.

LBN: Sports Medicine North Orthopaedic Surgery, Inc.
Sports Medicine North Orthopaedic Surgery, Inc. is an health care organization with primary practice located at 30 Tozer Rd , Beverly MA 01915-5510. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Sports Medicine North Orthopaedic Surgery, Inc. can be contacted via phone (978) 818-6350, or through Polansky, Jeffrey via phone (978) 818-6350.

Contact Information

Primary practice address
30 Tozer Rd Beverly MA 01915-5510
Phone: (978) 818-6350
Fax: (978) 818-6355
Website:
Map and Directions
Authorized official contact:
Name: Polansky, Jeffrey Doctor of Medicine (MD)
Phone: (978) 818-6350

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1376077552
LBN Legal business name Sports Medicine North Orthopaedic Surgery, Inc.
DBA Doing business as
Authorized official Polansky, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2017
Last updated Apr 14th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376077552 NPPES
Massachusetts MEDICAID 9773363

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