| NPI | 1740216811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MININDER S KOCHER Director 617-355-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207PS0010X Emergency Medicine, Sports Medicine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 2080S0010X Pediatrics, Sports Medicine | |
| 213E00000X Podiatrist | |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-09-26 |