Organization
SPORTS MEDICINE ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T. HESTER DPM (OWNER)
(617) 739-2003
Entity
Organization
Contact information
Practice address
830 BOYLSTON ST, SUITE 205, BROOKLINE, MA 02467-2503
(617) 739-2003
(617) 734-0242
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021510
NEIGHBORHOOD HEALTH PLAN
MA
01
—
103363500
FEDERAL WORKERS COMP
—
01
—
2436362
AETNA
MA
01
—
49108
FALLON COMMUNITY HEALTH
MA
01
—
687403
TUFTS HEALTH PLAN
MA
05
—
9703420
—
MA
01
—
M17672
BCBS OF MA
MA
01
—
VC6000189233
MA WORKERS COMPENSATION
MA
Enumeration date
02/19/2006
Last updated
02/25/2010
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