| NPI | 1659492858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G KENNEDY Owner 508-655-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 45134) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |