Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 258138 | MA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 258138 | MA |
NPI | 1326200858 |
---|---|
Provider Name | Melissa A Christino |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 10/01/2019 |