| NPI | 1407367139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CRINCOLI President 617-538-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: 44220) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2025-07-25 |