| NPI | 1396090536 |
|---|---|
| Other Name | BLACKSTONE MEDICAL CENTER SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES RENNA CFO 617-419-4772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI 00117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 00117) |
| 208600000X Surgery (Licence: RI 00117) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: RI 00117) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-08-01 |