| NPI | 1740216811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MININDER KOCHER Division Chief 617-355-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine |
| 103TC0700X Psychologist, Clinical | |
| 213E00000X Podiatrist | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 2080S0010X Pediatrics, Sports Medicine | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-09-10 |