| NPI | 1326766205 |
|---|---|
| Other Name | MGPO ORTHOPAEDIC SPORTS MEDICINE AND UPPER EXTREMITY CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN ROBERT MULCAHY Senior D Irector 617-724-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |