Organization
ORTHOBOSTON - BIDC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HARTSHORN MD (OWNER)
(617) 938-3999
Entity
Organization
Contact information
Practice address
145 ROSEMARY ST STE C, NEEDHAM, MA 02494-3259
(617) 938-3999
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(617) 938-3999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
03/01/2018
Last updated
03/22/2018
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