| NPI | 1215925888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE H THEODORE Owner 617-726-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: MA 150940) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2014-10-14 |