Organization
BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL TORNETTA III MD (PRESIDENT)
(617) 414-5757
Entity
Organization
Contact information
Practice address
725 ALBANY ST, SUITE 4B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-5633
(617) 414-5226
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072511B
—
MA
05
—
3089454
—
NH
Enumeration date
06/04/2006
Last updated
12/20/2023
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