Organization
ORTHOBIOLOGICS ASSOCIATES BOSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD A MASTAW JR. MD (CEO)
(352) 415-3200
Entity
Organization
Contact information
Practice address
1110 WASHINGTON STREET, SUITE 203, DORCHESTER, MA 02124-9998
(352) 415-3200
(727) 286-6204
Mailing address
5311 SPRING HILL DR., SPRING HILL, FL 34606-4558
(352) 415-3200
(352) 398-1233
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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