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

Boston Sports Medicine and Research Institute LLC

Organization Specialist · NPI 1972934529

Boston Sports Medicine and Research Institute LLC is a Specialist in Dedham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2013.

Licensed in
MA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

40 Allied Dr
Dedham, MA 02026-6146
Phone: (617) 264-1100
Fax: (617) 264-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 152013 (MA)

Record details

NPI number1972934529
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Gill — President · (617) 264-1100
NPI enumeratedDecember 9, 2013
Last updated in NPPESMay 20, 2015
Mailing address40 Allied Dr, Dedham, MA 02026-6146

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