Organization
BOSTON ORTHOPEDIC & SPORT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL K. RITTER (OFFICE MANAGER)
(617) 782-7772
Entity
Organization
Contact information
Practice address
1505 COMMONWEALTH AVE, SUITE 340, BRIGHTON, MA 02135-3605
(617) 782-7772
Mailing address
1505 COMMONWEALTH AVE, SUITE 340, BRIGHTON, MA 02135-3605
(617) 782-7772
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45262
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9740376
—
MA
Enumeration date
01/14/2013
Last updated
01/14/2013
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