Provider Demographics
NPI:1609114586
Name:MCNEIL ORTHOPEDICS INC
Entity type:Organization
Organization Name:MCNEIL ORTHOPEDICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-205-9630
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71653207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6855510001Medicare NSC