Provider Demographics
NPI:1982212700
Name:BOSTON PROLOTHERAPY & ORTHOPAEDICS, PLLC
Entity Type:Organization
Organization Name:BOSTON PROLOTHERAPY & ORTHOPAEDICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:V
Authorized Official - Last Name:FRANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-974-9263
Mailing Address - Street 1:92 MONTVALE AVE STE 4650
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3631
Mailing Address - Country:US
Mailing Address - Phone:781-299-7521
Mailing Address - Fax:781-620-1649
Practice Address - Street 1:92 MONTVALE AVE STE 4650
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3631
Practice Address - Country:US
Practice Address - Phone:781-299-7521
Practice Address - Fax:781-620-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty