Whalio Doctors

NPI 1669588372

Medigroup PC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Randolph, MA

Practice location

Address
4 Frank Leary Way, Randolph, MA 02368-4512
Phone
(781) 986-1737
Fax
(781) 986-0507

Authorised official

Name
Mark Weiner
Title
Owner
Phone
(781) 986-1737

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 54262 (MA)

Registry record

NPI
1669588372
Entity type
Organization
NPI issued
23 Aug 2006
Record last updated
10 Sep 2007

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.