| NPI | 1720675226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A VIVEIROS Billing Manager 508-675-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207X00000X Orthopaedic Surgery | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |