Provider Demographics
NPI:1427470954
Name:MCNEIL ORTHOPEDICS INC
Entity type:Organization
Organization Name:MCNEIL ORTHOPEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER/OFFICE STAFF
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUDIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-565-3488
Mailing Address - Street 1:3 WASHINGTON ST
Mailing Address - Street 2:STE 200
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1010
Mailing Address - Country:US
Mailing Address - Phone:508-205-9630
Mailing Address - Fax:508-796-2610
Practice Address - Street 1:3 WASHINGTON ST
Practice Address - Street 2:STE 200
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1010
Practice Address - Country:US
Practice Address - Phone:508-205-9630
Practice Address - Fax:508-796-2610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6855510001Medicare NSC