| NPI | 1255097457 |
|---|---|
| Other Name | 1715 37TH PL STE 101 |
| Entity Type | Organization |
| Authorized Contact | AMY MARIE GUAY President Of Smg 617-562-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |