NPI 1972996098 · live from the CMS NPI Registry
Boston Sports & Shoulder Center, LLC
Orthopaedic Surgery in Boston, MA. National Provider Identifier 1972996098, active.
NPI record
| NPI | 1972996098 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 125 Parker Hill Ave, Boston, MA 02120 |
| Practice phone | 617-264-1100 |
| Mailing address | 840 Winter St, Attn: Boston Sports & Shoulder Center, Waltham, MA 02451 |
| Enumerated | March 13, 2015 |
| 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.