Organization
GREATER BOSTON ORTHOPAEDIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID DABUZHSKY M.D. (DIRECTOR)
(617) 376-5656
Entity
Organization
Contact information
Practice address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-5656
(617) 376-1662
Mailing address
54 MILLER ST, 4TH FLOOR, QUINCY, MA 02169-4725
(617) 376-5656
(617) 376-1662
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110067083A
—
MA
Enumeration date
05/23/2006
Last updated
03/03/2015
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