Provider Demographics
NPI:1780781153
Name:AUFRANC ORTHOPEDIC ASSOCIATES, P.C.
Entity type:Organization
Organization Name:AUFRANC ORTHOPEDIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ST. GEORGE
Authorized Official - Middle Name:TUCKER
Authorized Official - Last Name:AUFRANC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-232-0100
Mailing Address - Street 1:125 PARKER HILL AVE
Mailing Address - Street 2:5TH FLOOR FOGG BUILDING SUITE 501
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120
Mailing Address - Country:US
Mailing Address - Phone:617-232-0100
Mailing Address - Fax:617-232-0642
Practice Address - Street 1:125 PARKER HILL AVE
Practice Address - Street 2:5TH FLOOR FOGG BUILDING SUITE 501
Practice Address - City:ROXBURY CROSSING
Practice Address - State:MA
Practice Address - Zip Code:02120-2847
Practice Address - Country:US
Practice Address - Phone:617-232-0100
Practice Address - Fax:617-232-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32245207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA17916OtherHPHC
MAM08573OtherBCBS
MA032245OtherTUFTS
MA2043033Medicaid
MAM08573OtherBCBS
B75882Medicare UPIN