| Arthroscopy & Sports Med And Pentucket Orthopaedics & Sports Medicine | |
|
80 Bridge St Dedham MA 02026-1765 | |
| (781) 326-0077 | |
| (781) 326-4300 |
| Full Name | Arthroscopy & Sports Med And Pentucket Orthopaedics & Sports Medicine |
|---|---|
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 80 Bridge St, Dedham, Massachusetts |
| Authorized Official Name and Position | Onaly A Kapasi (CEO) |
| Authorized Official Contact | 7813260077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arthroscopy & Sports Med And Pentucket Orthopaedics & Sports Medicine 80 Bridge St Dedham MA 02026-1765 Ph: (781) 326-0077 | Arthroscopy & Sports Med And Pentucket Orthopaedics & Sports Medicine 80 Bridge St Dedham MA 02026-1765 Ph: (781) 326-0077 |
| NPI Number | 1306908561 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 09/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306908561 | NPI | - | NPPES |
| 0004568 | Other | MA | MEDICARE PTAN |
| 9771956 | Medicaid | MA | |
| KAM13306 | Other | MA | BLUE CROSS BLUE SHEILD |
| 000456801 | Other | MA | MEDICARE PTAN |
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Jonathan M Lee Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Providence Hwy, Suite 202-203, Dedham, MA 02026 Phone: 781-326-1464 Fax: 781-326-9075 | |
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