Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036115691 | IL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 154325 | MA |
NPI | 1265488480 |
---|---|
Provider Name | Dr. Saul Magitsky |
First Address | Attleboro, MA 02703 |
Second Address | Attleboro, MA 02703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 12/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2135388 | (05) | MA |
I152752 | (02) | |
J41567 | MABCBS (01) | MA |