Organization
CHILDREN'S SPORTS MEDICINE FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MININDER KOCHER (DIVISION CHIEF)
(617) 355-3501
Entity
Organization
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5971
(617) 730-0178
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
213E00000X
Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/23/2006
Last updated
02/10/2026
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