SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY INC. NPI 1699171470

NPI Information

SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. is a specialist in Peabody, 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. SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. NPI is 1699171470. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 ORTHOPEDICS DR
PEABODY, MA
ZIP 01960-668
Phone: (978) 818-6350
Fax: (978) 818-6355

The provider's authorized official is Jeffrey Polansky .
The authorized official title is President / Owner and has the following contact phone number (978) 818-6350.

The enumeration date for this NPI number is 11/6/2014 and was last updated on 11/6/2014.

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:

Other Identifiers

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

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