Active NPI 1679502207 Individual Practitioner Male Practitioner

Dr. Glen D Seidman , MD

Orthopaedic Surgery • Hingham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Glen Seidman, MD is a certified Orthopaedic Surgery practicing in Hingham, MA. With approximately 39 years of clinical experience since graduating from Boston University School Of Medicine in 1987, Dr. Seidman delivers high-quality medical care to the local community at 2 POND PARK RD STE 102.

Dr. Seidman maintains professional affiliations with South Shore Orthopedics Llc, Northeast Orthopaedic Alliance Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of hand, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Pond Park Rd Ste 102

Hingham, MA 020434354

Telephone 7813375555

Fax 7813356047

Associated Practice Facility / Clinic

🏢 South Shore Orthopedics, Llc Facility NPI 1255514824

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hingham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +10.8 yrs vs City Avg

City Avg: 28.2 Yrs

State Avg: 28.0 Yrs

Regional Practice Density

16 Specialists

Practicing in Hingham, MA (746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Seidman (39 Years) 39 Yrs

Hingham Specialty Average (28.2 Years) 28.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,706	384	$10.07	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	898	559	$251.22	$91.97
73130 X-ray of hand, minimum of 3 views	325	268	$166.67	$43.90
20550 Injection into tendon or ligament	302	175	$235.55	$47.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	228	228	$356.18	$112.36
73110 X-ray of wrist, minimum of 3 views	224	127	$167.88	$43.81
20600 Aspiration and/or injection of fluid from small joint	146	120	$248.84	$52.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	85	$358.85	$128.21
20526 Injection of carpal tunnel	75	62	$324.61	$93.75
73630 X-ray of foot, minimum of 3 views	70	51	$153.30	$36.83
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	67	42	$42.00	$23.36
73030 X-ray of shoulder, minimum of 2 views	66	52	$144.47	$37.87
20610 Aspiration and/or injection of fluid from large joint	60	42	$336.00	$71.21
73080 X-ray of elbow, minimum of 3 views	58	42	$149.28	$34.34
73610 X-ray of ankle, minimum of 3 views	53	36	$145.06	$37.18
29075 Application of elbow to finger cast	43	27	$349.95	$89.94
20605 Aspiration and/or injection of medium joint or joint capsule	32	27	$255.00	$54.14
73140 X-ray of finger, minimum of 2 views	32	20	$155.72	$40.71
64721 Release and/or relocation of hand nerve	31	29	$2163.42	$410.52
25600 Closed treatment of broken forearm bones	30	29	$1440.00	$359.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$193.08	$57.47
20551 Injection into tendon at attachment to bone or muscle	21	18	$270.00	$45.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$566.00	$168.35
26055 Incision of tendon covering	14	11	$2400.00	$230.05
26600 Closed treatment of fracture hand bone	14	14	$1280.00	$308.16
20612 Aspiration and/or injection of cyst of tendon	12	12	$240.00	$66.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,608	370	$10.03	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	723	478	$224.58	$92.32
73130 X-ray of hand, minimum of 3 views	281	253	$171.27	$47.12
20550 Injection into tendon or ligament	254	160	$240.45	$50.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	202	202	$336.00	$114.61
20600 Aspiration and/or injection of fluid from small joint	148	121	$244.05	$54.52
73110 X-ray of wrist, minimum of 3 views	146	94	$163.88	$43.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	100	$344.00	$130.64
20526 Injection of carpal tunnel	67	59	$324.72	$95.69
73080 X-ray of elbow, minimum of 3 views	54	40	$148.63	$35.62
73630 X-ray of foot, minimum of 3 views	53	39	$155.32	$38.81
20610 Aspiration and/or injection of fluid from large joint	53	38	$326.04	$69.77
64721 Release and/or relocation of hand nerve	51	47	$2037.90	$395.59
73030 X-ray of shoulder, minimum of 2 views	50	38	$142.48	$37.90
20605 Aspiration and/or injection of medium joint or joint capsule	34	29	$261.18	$57.95
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	29	22	$42.00	$22.77
73140 X-ray of finger, minimum of 2 views	28	15	$151.00	$40.02
73610 X-ray of ankle, minimum of 3 views	26	20	$147.00	$38.96
26055 Incision of tendon covering	25	19	$2400.00	$216.12
29075 Application of elbow to finger cast	24	19	$342.00	$91.45
73564 X-ray of knee, 4 or more views	19	18	$185.00	$49.12
20551 Injection into tendon at attachment to bone or muscle	18	14	$270.00	$54.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$111.00	$58.12
28470 Closed treatment of broken foot bone	13	12	$945.00	$212.15
25600 Closed treatment of broken forearm bones	13	13	$1440.00	$361.74
20612 Aspiration and/or injection of cyst of tendon	12	12	$240.00	$60.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,713	376	$10.00	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	737	469	$225.00	$93.45
73130 X-ray of hand, minimum of 3 views	307	280	$177.41	$46.76
20550 Injection into tendon or ligament	299	181	$240.26	$50.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	198	198	$336.00	$116.07
73110 X-ray of wrist, minimum of 3 views	182	102	$167.51	$44.59
20600 Aspiration and/or injection of fluid from small joint	117	95	$265.64	$57.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	100	$344.00	$131.62
20610 Aspiration and/or injection of fluid from large joint	70	46	$357.94	$75.27
73630 X-ray of foot, minimum of 3 views	69	42	$149.13	$37.54
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	69	44	$42.00	$20.74
20526 Injection of carpal tunnel	64	55	$388.50	$104.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$566.00	$174.04
73080 X-ray of elbow, minimum of 3 views	48	41	$147.00	$34.57
29075 Application of elbow to finger cast	47	35	$342.00	$88.29
64721 Release and/or relocation of hand nerve	43	41	$2143.42	$415.24
20605 Aspiration and/or injection of medium joint or joint capsule	43	36	$256.74	$53.57
73030 X-ray of shoulder, minimum of 2 views	38	35	$141.68	$39.08
73610 X-ray of ankle, minimum of 3 views	37	26	$147.00	$39.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$111.00	$59.04
73140 X-ray of finger, minimum of 2 views	29	15	$151.00	$40.46
25600 Closed treatment of broken forearm bones	27	27	$1440.00	$362.27
26055 Incision of tendon covering	26	17	$2400.00	$207.91
20551 Injection into tendon at attachment to bone or muscle	15	13	$270.00	$61.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,599	345	$10.00	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	613	387	$225.00	$94.62
20550 Injection into tendon or ligament	238	145	$243.83	$49.67
73130 X-ray of hand, minimum of 3 views	234	213	$170.96	$45.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	177	177	$336.00	$116.93
73110 X-ray of wrist, minimum of 3 views	176	102	$165.02	$42.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	139	$344.00	$135.05
20600 Aspiration and/or injection of fluid from small joint	127	99	$279.45	$56.94
20610 Aspiration and/or injection of fluid from large joint	95	59	$333.47	$71.38
20526 Injection of carpal tunnel	72	61	$356.13	$98.77
64721 Release and/or relocation of hand nerve	54	49	$1961.00	$411.55
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	51	36	$42.00	$20.00
73030 X-ray of shoulder, minimum of 2 views	38	36	$141.68	$37.87
73610 X-ray of ankle, minimum of 3 views	37	20	$136.27	$36.31
29075 Application of elbow to finger cast	36	27	$342.00	$89.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$566.00	$175.36
73080 X-ray of elbow, minimum of 3 views	33	27	$152.79	$35.95
20605 Aspiration and/or injection of medium joint or joint capsule	28	26	$282.86	$55.26
26055 Incision of tendon covering	28	14	$2400.00	$199.86
73630 X-ray of foot, minimum of 3 views	24	17	$147.00	$36.66
25600 Closed treatment of broken forearm bones	23	23	$1440.00	$363.22
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$60.00	$59.23
73564 X-ray of knee, 4 or more views	18	15	$185.00	$49.19
J1030 Injection, methylprednisolone acetate, 40 mg	15	13	$54.00	$5.65
20551 Injection into tendon at attachment to bone or muscle	13	12	$270.00	$57.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,772	351	$10.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	691	440	$225.16	$78.57
73130 X-ray of hand, minimum of 3 views	261	220	$170.05	$42.39
20550 Injection into tendon or ligament	247	155	$236.84	$46.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$336.00	$112.93
20600 Aspiration and/or injection of fluid from small joint	148	110	$256.46	$52.30
73110 X-ray of wrist, minimum of 3 views	140	77	$166.34	$41.70
20526 Injection of carpal tunnel	81	70	$345.33	$96.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	73	$344.00	$114.46
20610 Aspiration and/or injection of fluid from large joint	78	54	$358.15	$73.66
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	52	33	$42.00	$20.12
73080 X-ray of elbow, minimum of 3 views	43	33	$153.84	$34.48
73030 X-ray of shoulder, minimum of 2 views	37	32	$151.81	$39.01
29075 Application of elbow to finger cast	32	22	$342.00	$91.28
26055 Incision of tendon covering	31	19	$2400.00	$211.61
64721 Release and/or relocation of hand nerve	29	28	$2231.48	$454.62
99441 Telephone medical discussion with physician, 5-10 minutes	25	24	$60.00	$48.24
20605 Aspiration and/or injection of medium joint or joint capsule	24	22	$270.00	$52.25
25600 Closed treatment of broken forearm bones	21	21	$1508.57	$365.39
73564 X-ray of knee, 4 or more views	18	17	$195.28	$49.30
20551 Injection into tendon at attachment to bone or muscle	17	16	$270.00	$52.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,990	376	$9.98	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	849	486	$225.00	$77.65
73130 X-ray of hand, minimum of 3 views	286	264	$175.05	$41.41
20550 Injection into tendon or ligament	273	165	$245.14	$47.55
73110 X-ray of wrist, minimum of 3 views	223	124	$172.67	$40.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	212	212	$336.00	$113.85
20600 Aspiration and/or injection of fluid from small joint	152	112	$258.00	$48.67
20610 Aspiration and/or injection of fluid from large joint	107	63	$357.98	$71.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	95	$343.84	$114.55
20526 Injection of carpal tunnel	100	87	$376.13	$100.72
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	78	62	$44.77	$19.72
73080 X-ray of elbow, minimum of 3 views	61	43	$154.62	$33.57
29075 Application of elbow to finger cast	59	47	$342.00	$91.98
73140 X-ray of finger, minimum of 2 views	49	22	$147.92	$35.39
73630 X-ray of foot, minimum of 3 views	47	27	$149.94	$36.23
20605 Aspiration and/or injection of medium joint or joint capsule	44	39	$272.73	$48.72
64721 Release and/or relocation of hand nerve	39	39	$2061.56	$390.08
73030 X-ray of shoulder, minimum of 2 views	33	31	$163.15	$39.37
73564 X-ray of knee, 4 or more views	26	24	$177.88	$42.68
26055 Incision of tendon covering	26	20	$2400.00	$251.56
25600 Closed treatment of broken forearm bones	25	25	$1440.00	$354.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$566.00	$173.11
20551 Injection into tendon at attachment to bone or muscle	19	16	$270.00	$50.63
73610 X-ray of ankle, minimum of 3 views	18	11	$147.00	$35.66
26720 Closed treatment of broken finger or thumb	15	12	$851.00	$176.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,302	390	$10.00	$1.78
99213 Established patient office or other outpatient visit, typically 15 minutes	507	335	$183.10	$76.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	276	$209.82	$111.97
73130 X-ray of hand, minimum of 3 views	302	254	$137.60	$39.96
20550 Injection into tendon or ligament	229	149	$215.10	$45.99
73110 X-ray of wrist, minimum of 3 views	228	114	$122.45	$37.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	220	220	$294.96	$112.62
20600 Aspiration and/or injection of fluid from small joint	187	124	$224.04	$44.48
20526 Injection of carpal tunnel	133	102	$346.59	$95.86
20610 Aspiration and/or injection of fluid from large joint	133	83	$340.09	$72.46
73030 X-ray of shoulder, minimum of 2 views	86	59	$108.02	$30.95
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	75	50	$48.12	$19.28
73080 X-ray of elbow, minimum of 3 views	61	37	$115.63	$31.92
29075 Application of elbow to finger cast	52	35	$304.73	$92.83
20605 Aspiration and/or injection of medium joint or joint capsule	42	37	$235.24	$53.00
73140 X-ray of finger, minimum of 2 views	40	18	$114.23	$32.29
73610 X-ray of ankle, minimum of 3 views	39	14	$103.06	$31.53
26055 Incision of tendon covering	38	21	$2105.26	$235.28
64721 Release and/or relocation of hand nerve	34	33	$1827.53	$411.85
73564 X-ray of knee, 4 or more views	32	31	$126.56	$42.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$364.97	$172.10
25600 Closed treatment of broken forearm bones	27	27	$1165.58	$351.48
73502 X-ray of hip, 2-3 views	20	14	$115.28	$42.31
20551 Injection into tendon at attachment to bone or muscle	19	14	$241.58	$55.73
26600 Closed treatment of fracture hand bone	12	11	$1000.07	$262.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,938	364	$10.00	$1.77
99213 Established patient office or other outpatient visit, typically 15 minutes	721	443	$150.00	$70.97
73130 X-ray of hand, minimum of 3 views	273	242	$113.96	$34.26
20550 Injection into tendon or ligament	223	128	$195.87	$38.45
73110 X-ray of wrist, minimum of 3 views	197	104	$101.47	$35.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	173	173	$248.70	$104.74
20600 Aspiration and/or injection of fluid from small joint	147	111	$215.48	$43.90
20610 Aspiration and/or injection of fluid from large joint	145	82	$291.31	$65.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	114	$185.00	$103.90
20526 Injection of carpal tunnel	125	97	$344.00	$88.77
73030 X-ray of shoulder, minimum of 2 views	71	45	$108.31	$31.37
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	64	44	$45.00	$19.07
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	52	12	$300.00	$148.89
29075 Application of elbow to finger cast	46	35	$285.00	$85.27
64721 Release and/or relocation of hand nerve	37	37	$1702.70	$396.28
26055 Incision of tendon covering	34	20	$2000.00	$204.50
73502 X-ray of hip, 2-3 views	29	16	$83.10	$34.08
20605 Aspiration and/or injection of medium joint or joint capsule	28	28	$207.14	$47.13
73564 X-ray of knee, 4 or more views	27	26	$101.11	$40.18
73610 X-ray of ankle, minimum of 3 views	25	14	$104.00	$32.71
73630 X-ray of foot, minimum of 3 views	24	17	$104.17	$27.74
73080 X-ray of elbow, minimum of 3 views	22	21	$101.36	$31.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$295.00	$162.27
73140 X-ray of finger, minimum of 2 views	19	12	$92.63	$28.86
25500 Closed treatment of broken forearm bone	14	14	$985.00	$260.58
23600 Closed treatment of broken top of upper arm bone	12	11	$1250.00	$322.66
25600 Closed treatment of broken forearm bones	11	11	$1050.00	$324.90

Medical Specialties & State Licenses

CMS Verified: 2026-04-10

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MA 208492

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Hand Surgery

NUCC Taxonomy Code: 207XS0106X

State License MA 208492

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Hospital & Practice Group Affiliations

South Shore Orthopedics Llc

2 Pond Park Rd, Hingham, MA 020434354

Phone: 7813375555

Northeast Orthopaedic Alliance Pllc

125 Parker Hill Ave, Boston, MA 021202847

Phone: 6172641100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Owen Mcconville , MD

Orthopaedic Surgery

NPI 1114928280

Doctor of Medicine (M.D.)

Nicole Jacobs , OT, CHT

Occupational Therapist

NPI 1124236260

Occupational Therapist, Certified Hand Therapist

Dr. Michael Geary , MD

Orthopaedic Surgery

NPI 1194816728

Doctor of Medicine (M.D.)

Angelica Duczakowski , PA

Physician Assistant

NPI 1235223587

Physician Assistant

Dr. John Haskoor , MD

Orthopaedic Surgery

NPI 1265827612

Doctor of Medicine (M.D.)

Joanna Hollywood , OTR CHT

Occupational Therapist

NPI 1275668030

OTRCHT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location April 10, 2026

Registered at 2 POND PARK RD STE 102, HINGHAM, MA 020434354 (Tel: 7813375555)

📍

Updated Business Mailing Address April 10, 2026

Registered at 71 BORDER RD STE 300, WALTHAM, MA 024511044

👤

Provider Name / Credentials Updated April 10, 2026

Recorded as GLEN SEIDMAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2026

Orthopaedic Surgery (License #208492 in MA)

✅

NPI Profile Active October 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 13, 2011

Registered at 2 POND PARK RD., STE. 102, HINGHAM, MA 020434309 (Tel: 7813375555)

📍

Updated Business Mailing Address October 13, 2011

Registered at 2 POND PARK RD., STE. 102, HINGHAM, MA 020434309 (Tel: 7813375555)

👤

Provider Name / Credentials Updated October 13, 2011

Recorded as GLEN SEIDMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2011

Orthopaedic Surgery (License #208492 in MA)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679502207

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: April 10, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

71 Border Rd Ste 300

Waltham, MA 024511044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.