Organization
PRO SPORTS ORTHOPEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M SURRO (SYSTEMS PROJECT MANAGER)
(617) 491-6766
Entity
Organization
Contact information
Practice address
20 GUEST ST STE 225, BRIGHTON, MA 02135-2065
(617) 738-8642
(617) 202-4172
Mailing address
20 GUEST ST STE 225, BRIGHTON, MA 02135-2065
(617) 738-8642
(617) 202-4172
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110070879A
—
MA
Enumeration date
01/16/2013
Last updated
06/20/2019
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