Individual
ZINA MODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
54 BAKER AVENUE EXT STE 200, CONCORD, MA 01742-2137
(978) 369-5391
Mailing address
54 BAKER AVENUE EXT STE 200, CONCORD, MA 01742-2137
(978) 369-5391
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1018917
MA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
1018917
MA
Other
Enumeration date
04/03/2019
Last updated
10/04/2025
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