Provider Demographics
NPI:1841283942
Name:SIROIS, JOSEPH LOUIS III (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LOUIS
Last Name:SIROIS
Suffix:III
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 1:825 WASHINGTON ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3441
Mailing Address - Country:US
Mailing Address - Phone:781-769-6720
Mailing Address - Fax:781-769-0691
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:SUITE 260
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-769-6720
Practice Address - Fax:781-769-0691
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2014-10-08
Deactivation Date:2006-03-27
Deactivation Code:
Reactivation Date:2006-05-02
Provider Licenses
StateLicense IDTaxonomies
MA59259174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA24242OtherAETNA
MA0904937OtherUNITEDHEALTH CARE
MA3031551Medicaid
MA059259OtherTUFTS HEALTH PLAN
MA17387OtherHARVARD PILGRIM HEALTH CARE
MAB20909801OtherCIGNA HEALTHCARE
MA059259OtherTUFTS HEALTH PLAN
MA17387OtherHARVARD PILGRIM HEALTH CARE