Organization
BOSTON SPORTS & SHOULDER CENTER, LLC
Active
Other names
Boston Sports & Shoulder Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN SHAKER (EXECUTIVE DIRECTOR)
(781) 890-2133
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 264-1100
(617) 264-1101
Mailing address
840 WINTER ST, ATTN: BOSTON SPORTS & SHOULDER CENTER, WALTHAM, MA 02451-1433
(781) 890-2133
(781) 890-2177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/13/2015
Last updated
03/05/2024
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