Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 1441 | MA |
Y | 213ES0000X | Sports Medicine | 1441 | MA |
NPI | 1568439271 |
---|---|
Provider Name | Dr. Frank J Santopietro |
First Address | Brookline, MA 02446-3885 |
Second Address | Brookline, MA 02446-3885 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 19/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SAY70584 | (02) | MA |