| NPI | 1679132070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEF B SIMON Owner 617-860-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |