Organization
BOSTON PAIN SPECIALIST, PC
Active
Organization
BOSTON PAIN SPECIALIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASA PERISKIC M.D. (PRESIDENT)
(781) 662-7246
Entity
Organization
Contact information
Practice address
50 TREMONT ST STE 103, MELROSE, MA 02176-2721
(781) 662-7246
(781) 662-7241
Mailing address
50 ROWE ST STE 100, MELROSE, MA 02176-3231
(781) 662-7246
(781) 662-7241
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
203186
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
203186
MA
Other
Enumeration date
09/23/2007
Last updated
01/02/2019
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