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AGILITY WPHO-THP INC NPI 1174072557


NPI Information

NPI: 1174072557
Provider Name: AGILITY WPHO-THP INC

Doing Business As: AGILITY ORTHOPEDICS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
92 MONTVALE AVE
SUITE 1400
STONEHAM, MA
ZIP 02180
Phone: (781) 279-7040
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AGILITY WPHO-THP INC is a specialist in Stoneham, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AGILITY WPHO-THP INC NPI is 1174072557. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Agility Orthopedics.

The provider's business location address is:

92 MONTVALE AVE
SUITE 1400
STONEHAM, MA
ZIP 02180-647
Phone: (781) 279-7040
Fax: (781) 279-8430

The provider's authorized official is Abraham Shurland .
The authorized official title is Partner/authorized Official and has the following contact phone number (781) 279-7040.

The enumeration date for this NPI number is 9/27/2016 and was last updated on 2/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M12363OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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