# MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Shore Orthopedic Labs Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336172196
- **Authorized official:** BRADFORD NEIL GARDNER (DIRECTOR)
- **Authorized official phone:** (615) 864-8783

## Contact information

- **Practice address:** 199 REEDSDALE RD, MILTON, MA 02186
- **Practice address phone:** (617) 698-6334
- **Practice address fax:** (617) 698-3260
- **Mailing address:** 2421 LINDEN LN, SILVER SPRING, MD 20910-1230
- **Mailing address phone:** (301) 585-5347
- **Mailing address fax:** (301) 585-4383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 222Z00000X | Orthotist | — | NULL | — |
| 222Z00000X | Orthotist | — | — | — |
| 225000000X | Orthotic Fitter | — | NULL | — |
| 225000000X | Orthotic Fitter | — | — | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 05/29/2026