Provider Demographics
NPI:1609070101
Name:JOSEPH L SIROIS III M.D. INC.
Entity Type:Organization
Organization Name:JOSEPH L SIROIS III M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIROIS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:781-762-0500
Mailing Address - Street 1:24 GUILD ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3425
Mailing Address - Country:US
Mailing Address - Phone:781-762-0500
Mailing Address - Fax:781-762-0140
Practice Address - Street 1:24 GUILD ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3425
Practice Address - Country:US
Practice Address - Phone:781-762-0500
Practice Address - Fax:781-762-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA59259174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA059259OtherTUFTS HEALTH PLAN
MA24242OtherAETNA
MAM15053OtherBLUE CROSS BLUE SHIELD
MA17387OtherHARVARD PILGRIM HEALTH CARE
MA9764291Medicaid
MA0904937OtherUNITED HEALTH CARE
MAB20909801OtherCIGNA
MAB20909801OtherCIGNA
MAM15053Medicare PIN