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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