Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boston Spine Teaching and Research Foundation Inc

Organization Orthopaedic Surgery of the Spine Physician · NPI 1225083579

Boston Spine Teaching and Research Foundation Inc is an Orthopaedic Surgery of the Spine Physician in Newton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

299 Washington St
Newton, MA 02458-1612
Phone: (617) 219-6300
Fax: (617) 219-6366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 59668 (MA)

Record details

NPI number1225083579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Banco — Executive Director · (617) 219-6300
NPI enumeratedMay 24, 2006
Last updated in NPPESMarch 9, 2015
Mailing addressP.O. Box 4110, Department 3110, Woburn, MA 01888-4110

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