Provider Demographics
NPI:1265488480
Name:MAGITSKY, SAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:
Last Name:MAGITSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 COUNTY STREET
Mailing Address - Street 2:#240
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703
Mailing Address - Country:US
Mailing Address - Phone:508-226-2213
Mailing Address - Fax:508-431-2637
Practice Address - Street 1:281 COUNTY STREET
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703
Practice Address - Country:US
Practice Address - Phone:508-226-2213
Practice Address - Fax:508-431-2637
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036115691207XS0114X
MA154325207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2135388Medicaid
MAJ41567OtherMABCBS
MA000225101Medicare PIN
MAJ41567OtherMABCBS