| NPI | 1508041427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS MCGLOWAN Owner 781-618-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MA 210655) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2023-11-28 |