Individual
SIMON GORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
375 BOYLSTON ST, BROOKLINE, MA 02445-6007
(857) 307-0869
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
279757
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
279757
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
52843
AZ
Other
Enumeration date
08/10/2010
Last updated
11/05/2019
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