Organization
BOSTON PEDORTHIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH R SCHUSTER (CEO)
(617) 787-8779
Entity
Organization
Contact information
Practice address
508 MAIN ST, WOBURN, MA 01801-4237
(781) 933-2345
(270) 404-8779
Mailing address
1929 COMMONWEALTH AVE, BRIGHTON, MA 02135-5939
(617) 787-8779
(270) 747-8779
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1856251
—
MA
01
—
4843760002
PTAN
MA
Enumeration date
02/04/2014
Last updated
02/04/2014
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