| NPI | 1619399961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALLEN GLAZER President 617-667-2288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-06-17 |