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Organization
THE BOSTON SPINE GROUP LLC
Active
Organization
THE BOSTON SPINE GROUP LLC
Active
Parent organization
THE BOSTON SPINE GROUP, LLC
Other names
First Choice Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BOSTON SPINE GROUP, LLC
Authorized official
DR. ROBERT J BANCO M.D. (PRESIDENT)
(617) 219-6300
Entity
Organization
Contact information
Practice address
32 NEWTON STREET, SUITE 1, SOUTHBORO, MA 01772-1215
(508) 460-3800
(508) 787-9872
Mailing address
299 WASHINGTON ST, NEWTON, MA 02458-1612
(617) 219-6300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
07/21/2010
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