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Organization

REGENERATIVE INSTITUTE OF WELLESLEY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ETHAN KELLUM (OWNER)
(781) 489-5427
Entity
Organization

Contact information

Practice address
422 WORCESTER ST STE 303, WELLESLEY HILLS, MA 02481-5341
(781) 489-5427
Mailing address
422 WORCESTER ST STE 303, WELLESLEY HILLS, MA 02481-5341
(781) 489-5427

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
11/16/2021
Last updated
02/07/2022
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