Organization
BOSTON ORTHOPAEDIC AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M SURRO (SYSTEM PROJECT MANAGER)
(617) 491-6766
Entity
Organization
Contact information
Practice address
20 GUEST ST STE 225, BRIGHTON, MA 02135-2065
(617) 738-8642
(617) 202-4172
Mailing address
20 GUEST ST STE 225, BRIGHTON, MA 02135-2065
(617) 738-8642
(617) 202-4172
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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