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Contact Information

ORTHOPEDIC SURGERY OF QUINCY INC
300 CONGRESS STREET
SUITE 308
QUINCY, MA02169
 Phone: 617-773-7457
 Fax: 617-773-0299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ORTHOPEDIC SURGERY OF QUINCY INC

NPI Number 1063527299
LBN Legal business name ORTHOPEDIC SURGERY OF QUINCY INC
Authorized official CHARLES DICECCA - (M.D./SOLE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2006
Last updated 02/01/2017 - About 9 years ago
Identifiers
MA Medicaid 9707808
MA Other M11024 MA BCBS
MA Other 705664 TUFTS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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