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NPI 1063487577 · live from the CMS NPI Registry

Sports Medicine Associates P.C.

Orthopaedic Surgery in Brookline, MA. National Provider Identifier 1063487577, active.

NPI record

NPI1063487577 Type 2 · organization
StatusActive
Primary specialtyOrthopaedic Surgery 207X00000X
Practice location830 Boylston St, Suite 205, Brookline, MA 02467
Practice phone617-739-2003
Mailing addressPo Box 2200, Amherst, NH 03031
EnumeratedFebruary 19, 2006
Last updatedFebruary 25, 2010
Authorized officialJohn Hester, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Neuromusculoskeletal Medicine, Sports Medicine204C00000X—
Podiatrist213E00000X—
Orthopaedic Surgery primary207X00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.