Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marcelo Bogliolo P Siqueira, MD

Individual provider Orthopaedic Surgery Physician · NPI 1790164978

Marcelo Bogliolo P Siqueira, MD is an Orthopedic Surgery in Plymouth, Massachusetts. Qualified in 2013, 13 years ago. Practices with Jordan Physician Associates Inc, a 166-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Ohio.

Years since qualifying
13
Licensed in
MA, OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

46 Obery St Ste 100
Plymouth, MA 02360-2237
Phone: (508) 210-5800
Fax: (508) 210-5860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 286040 (MA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 57025162 (OH)

Record details

NPI number1790164978
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2015
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jordan Physician Associates Inc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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