OrganizationActive
Boston Spine Teaching and Research Foundation Inc.
NPI 1225083579 · Orthopaedic Surgery of the Spine Physician · Newton, MA
Provider details
- NPI number
- 1225083579
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Banco, Executive Director(617) 219-6300
- License
- 59668 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
299 Washington Street
Newton, MA 02458-1612
Phone: (617) 219-6300
Fax: (617) 219-6366
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 4110
Woburn, MA 01888-4110
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.