Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 159837 | MA |
NPI | 1235243130 |
---|---|
Provider Name | Arun J Ramappa |
First Address | Cambridge, MA 02139-1115 |
Second Address | Boston, MA 02215-5400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 08/07/2007 |