NPI 1619163052 · live from the CMS NPI Registry
Boston Sports & Shoulder Center,LLC
Orthopaedic Surgery in Dedham, MA. National Provider Identifier 1619163052, active.
NPI record
| NPI | 1619163052 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 40 Allied Dr, Dedham, MA 02026 |
| Practice phone | 617-264-1100 |
| Mailing address | 840 Winter St, Waltham, MA 02451 |
| Enumerated | September 19, 2007 |
| Last updated | March 5, 2024 |
| Authorized official | Jonathan Shaker, Executive Director |
| Other names | Boston Sports & Shoulder Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.