| NPI | 1134637960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MCGLOWAN Owner/Authorized Official 781-618-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2023-11-28 |