| NPI | 1700072196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE FORDE RYNNE Billing Manager 781-826-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 76490) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |