Provider Demographics
NPI:1316174188
Name:ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL PC
Entity type:Organization
Organization Name:ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-454-0706
Mailing Address - Street 1:222 MERRIMACK ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-5913
Mailing Address - Country:US
Mailing Address - Phone:978-454-0706
Mailing Address - Fax:
Practice Address - Street 1:222 MERRIMACK ST
Practice Address - Street 2:SUITE 300
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-5913
Practice Address - Country:US
Practice Address - Phone:978-454-0706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA3775363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty