Provider Demographics
NPI:1154426732
Name:OCEAN ORTHOPEDIC SERVICES, INC
Entity type:Organization
Organization Name:OCEAN ORTHOPEDIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CPO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:508-583-8870
Mailing Address - Street 1:450 PLEASANT ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-2536
Mailing Address - Country:US
Mailing Address - Phone:508-583-8870
Mailing Address - Fax:
Practice Address - Street 1:450 PLEASANT ST STE 5
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-2536
Practice Address - Country:US
Practice Address - Phone:508-583-8870
Practice Address - Fax:508-583-0795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier