NPI | 1669597209 |
---|---|
Doing Business As | DBA KELTON BURBANK, M.D. |
Entity Type | Organization |
Authorized Contact | MICHAEL COFONE CFO 978-466-2185 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 79082) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |