Organization
PARKWAY ORTHOPEDICS & SPORTS MEDICINE
Active
Organization
PARKWAY ORTHOPEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE SOARES (BILLING)
(508) 679-9032
Entity
Organization
Contact information
Practice address
968 SOUTH ST, ROSLINDALE, MA 02131-2314
(617) 323-3334
(617) 327-9330
Mailing address
968 SOUTH ST, ROSLINDALE, MA 02131-2314
(617) 323-3334
(617) 327-9330
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
46262
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157082
—
MA
Enumeration date
10/24/2005
Last updated
09/12/2008
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