Boston Sports & Shoulder Center, LLC

NPI #1437184165 in Waltham, Massachusetts

Provider Information

NPI Number: 1437184165
Entity Type: Organization
Organization Name: Boston Sports & Shoulder Center, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 11, 2006
Last Updated: Mar 5, 2024

Practice Location

Address: 840 WINTER ST
Address 2: ATTN: BOSTON SPORTS & SHOULDER CENTER
City: Waltham
State: Massachusetts
ZIP Code: 02451-1433
Phone: (781) 890-2133

Authorized Official

Name: MR. JONATHAN SHAKER
Title: EXECUTIVE DIRECTOR
Phone: (781) 890-2133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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