| NPI | 1811580392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M SURRO System Project Manager 617-491-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery | |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085N0700X Radiology Neuroradiology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 213ES0000X Podiatrist Sports Medicine | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |