Provider Demographics
NPI:1952382103
Name:ORTHOPAEDIC ASSOCIATES INC
Entity type:Organization
Organization Name:ORTHOPAEDIC ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEBBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-522-1734
Mailing Address - Street 1:1153 CENTRE ST
Mailing Address - Street 2:SUITE 54
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3446
Mailing Address - Country:US
Mailing Address - Phone:617-522-1734
Mailing Address - Fax:617-522-8325
Practice Address - Street 1:1153 CENTRE ST
Practice Address - Street 2:SUITE 54
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-3446
Practice Address - Country:US
Practice Address - Phone:617-522-1734
Practice Address - Fax:617-522-8325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA600251OtherTUFTS
MA9704299Medicaid
MAM10612OtherBCBS
MA9704299Medicaid