Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 73348 | MA |
NPI | 1104804665 |
---|---|
Provider Name | Dr. Richard M. Ozuna |
First Address | Peabody, MA 01960-1668 |
Second Address | Peabody, MA 01960-1668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 20/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
729565 | TUFTS (01) | MA |
F71508 | (02) | |
J30229 | BCBS (01) | MA |