NPI | 1336491612 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS EDWARD PETERSON Orthopedic Surgeon 978-774-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 153208) |
Enumeration Date | 2012-10-10 |
Last Update Date | 2021-12-14 |