| NPI | 1891986105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARY SIMPSON-MURPHY Office Manager 617-232-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 58245) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 58245) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-06-10 |