Individual provider · Type 1 NPI

Jeffrey O. McGillicuddy, MD

Orthopaedic Surgery Physician · Manteca, CA

NPI number 1871698993 Active

Practice location

1234 E North St, Suite 103
Manteca, CA 95336-4960

Call (209) 647-3101 Map

Fax (209) 529-8378

Mailing address

199 Reynolds Road
Chester, CA 96020

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XG84589 (CA)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1871698993

Jeffrey O. McGillicuddy, MD's National Provider Identifier is 1871698993, issued on Sep 13, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Manteca, CA. The record was last updated on Feb 11, 2021.