| NPI | 1396112405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN E. ROCKETT Prersident 508-655-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 155320) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MA 215575) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |