Provider Demographics
NPI:1740950823
Name:PRIMARY CARE FOR MUSCULOSKELETAL INJURIES PLLC
Entity type:Organization
Organization Name:PRIMARY CARE FOR MUSCULOSKELETAL INJURIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RITUCCI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:508-889-0642
Mailing Address - Street 1:14 TOWNSIDE LN
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-3541
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14 TOWNSIDE LN
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-3541
Practice Address - Country:US
Practice Address - Phone:508-889-0642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty