Organization
NEW ENGLAND BRACE CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL W. GUIMOND C.O. (PRESIDENT)
(603) 668-8360
Entity
Organization
Contact information
Practice address
217 MAIN ST, LEWISTON, ME 04240-7069
(207) 786-0101
(207) 786-0216
Mailing address
217 MAIN ST, LEWISTON, ME 04240-7069
(207) 786-0101
(207) 786-0216
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002782
—
VT
05
—
138580001
—
ME
01
—
19Z025773ME0
BCBS
ME
01
—
4696
CIGNA
ME
01
—
700383
HARVARD PILGRIM
ME
05
—
80547363
—
NH
Enumeration date
06/14/2005
Last updated
02/23/2009
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