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Organization

ORTHOTIC AND PROSTHETIC CENTER OF BOSTON, LLC

Active
Parent organization
ORTHOTIC AND PROSTHETIC CENTER OF BOSTON, LLC
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039938
NEIGHBORHOOD HEALTH PLAN
01
1362065
AETNA
05
1530381
MA
01
AA89184
HARVARD PILGRIM HEALTH CA
Enumeration date
06/19/2006
Last updated
11/07/2018
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