| NPI | 1841256658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KINGSLEY ACKLAND President 508-888-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MA 76697) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NY 1845471) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-11-10 |