| Medford Oral Surgery Associates, Inc. | |
|
689 Fellsway Medford MH 02155 | |
| (781) 395-3100 | |
| (781) 395-3058 |
| Full Name | Medford Oral Surgery Associates, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 689 Fellsway, Medford, Marshall Islands |
| Authorized Official Name and Position | Lawrence William Joyce (PRESIDENT) |
| Authorized Official Contact | 7813953100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medford Oral Surgery Associates, Inc. 689 Fellsway Medford MA 02155-4931 Ph: (781) 395-3100 | Medford Oral Surgery Associates, Inc. 689 Fellsway Medford MH 02155 Ph: (781) 395-3100 |
| NPI Number | 1467427567 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467427567 | NPI | - | NPPES |
| 70434 | Other | AETNA US HEALTHCARE | |
| 16170 | Other | HARVARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13669 (Massachusetts) | Primary |