| NPI | 1730160458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BEN STERN President 508-998-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MA 76678) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2016-06-13 |