Organization
PRO SPORTS ORTHOPEDICS INC
Active
Other names
Associates in Orthopaedics and Sports Medicine Inc
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
111N00000X
Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
247100000X
Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110070879A
—
MA
Enumeration date
07/29/2006
Last updated
06/20/2019
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