| NPI | 1184100802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW J BRAZIEL Physician 617-754-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: MA 261676) |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |