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Contact Information

PRO SPORTS ORTHOPEDICS INC
20 GUEST ST STE 225
BRIGHTON, MA02135-2065
 Phone: 617-738-8642
 Fax: 617-202-4172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Chiropractor

111N00000X 35 Chiropractic
 

Neuroradiology

2085N0700X
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiologic Technologist

247100000X
 

Sports Medicine

213ES0000X 48 Podiatry
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRO SPORTS ORTHOPEDICS INC

NPI Number 1518971811
LBN Legal business name PRO SPORTS ORTHOPEDICS INC
Authorized official LINDA SURRO - (SYSTEMS PROJECT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 06/20/2019 - About 7 years ago
Identifiers
MA Medicaid 110070879A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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