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Contact Information

CHILDREN'S SPORTS MEDICINE FOUNDATION INC.
300 LONGWOOD AVE
BOSTON, MA02115-5724
 Phone: 617-355-5971
 Fax: 617-730-0178
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Podiatrist

213E00000X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDRENS SPORTS MEDICINE FOUNDATION INC · (Female)

NPI # 1740216811
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2006
Last updated 02/10/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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