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
15 NELSON ST., UNIT 1, MANCHESTER, NH 03103-2706
(603) 668-8322
(603) 668-2468
Mailing address
15 NELSON ST., UNIT 1, MANCHESTER, NH 03103-2706
(603) 668-8322
(603) 668-2468
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002782
—
VT
01
—
1201424Y0NH01
BCBS
NH
05
—
138580002
—
ME
01
—
4696
CIGNA
NH
01
—
700383
HARVARD PILGRIM
NH
05
—
80009456
—
NH
Enumeration date
06/14/2005
Last updated
05/28/2009
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