| NPI | 1700872413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J BANCO President 617-754-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MA 59668) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-07-15 |