| NPI | 1902893431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS G JENIS President 617-754-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: MA 76427) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |