| NPI | 1902105638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY RUGGLES Practice Manager 617-232-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |