Organization
CHILDREN'S SPORTS MEDICINE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE J MICHELI M.D. (DIRECTOR)
(617) 355-5971
Entity
Organization
Contact information
Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-5971
(617) 730-0178
Mailing address
PO BOX 3694, BOSTON, MA 02241-3694
(508) 946-1665
(508) 947-1293
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782621
—
MA
01
—
M14628
BCBS
MA
Enumeration date
10/04/2007
Last updated
10/04/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us