Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boston Sports Medicine and Research Institute LLC

Organization Specialist · NPI 1972934529

Boston Sports Medicine and Research Institute LLC provides Specialist services 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 Not confirmed with CMS for 11 years — call before visiting
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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