| NPI | 1669237764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORENIKEJI BURAIMOH Principal 617-281-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |