Organization
BOSTON ADVANCED MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN KOTWICKI (PRACTICE ADMINISTRATOR)
(781) 895-7903
Entity
Organization
Contact information
Practice address
281 WINTER ST FL 2, WALTHAM, MA 02451-8740
(781) 895-7900
(781) 290-0893
Mailing address
281 WINTER ST FL 2, WALTHAM, MA 02451-8740
(781) 895-7900
(781) 290-0893
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
04/15/2024
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