Children's Sports Medicine Foundation
NPI #1861680720 in Boston, Massachusetts
Provider Information
- NPI Number
- 1861680720
- Entity Type
- Organization
- Organization Name
- Children's Sports Medicine Foundation
- Primary Specialty
- Podiatrist - Sports Medicine
- Enumeration Date
- Oct 4, 2007
- Last Updated
- Oct 4, 2007
Practice Location
- Address
- 319 LONGWOOD AVE
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02115-5728
- Phone
- (617) 355-5971
Authorized Official
- Name
- LYLE J MICHELI, M.D.
- Title
- DIRECTOR
- Phone
- (617) 355-5971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Sports Medicine — Sports Medicine |
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