NPI 1003572827

Regenerative Institute of Wellesley PC

Organisation Orthopaedic Surgery Physician Wellesley Hills, MA

Practice location

Address: 422 Worcester St STE 303, Wellesley Hills, MA 02481-5341
Phone: (781) 489-5427

Authorised official

Name: Ethan Kellum
Title: Owner
Phone: (781) 489-5427

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Massachusetts →

Registry record

NPI: 1003572827
Entity type: Organization
NPI issued: 16 Nov 2021
Record last updated: 7 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.