# ORTHOTIC AND PROSTHETIC CENTER OF BOSTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORTHOTIC AND PROSTHETIC CENTER OF BOSTON, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134164544
- **Legal business name:** ORTHOTIC AND PROSTHETIC CENTER OF BOSTON, LLC
- **Authorized official:** MR. JAMES TIERNEY (PRESIDENT)
- **Authorized official phone:** (508) 775-2570

## Contact information

- **Practice address:** 126B MID TECH DR, WEST YARMOUTH, MA 02673-2560
- **Practice address phone:** (508) 775-2570
- **Practice address fax:** (508) 775-7609
- **Mailing address:** 126B MID TECH DR, WEST YARMOUTH, MA 02673-2560
- **Mailing address phone:** (508) 775-2570
- **Mailing address fax:** (508) 775-7609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 11/07/2018