Organization
BOSTON ARTIFICIAL LIMB COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L ROGERS C.P. (PRESIDENT)
(781) 272-3132
Entity
Organization
Contact information
Practice address
44 MIDDLESEX TPKE, BURLINGTON, MA 01803-4912
(781) 272-3132
(781) 272-5605
Mailing address
44 MIDDLESEX TPKE, BURLINGTON, MA 01803-4912
(781) 272-3132
(781) 272-5605
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1500589
—
MA
01
—
602259
HARVARD PILGRIM HC OF MA
MA
01
—
801166
TUFTS HC OF MA
MA
01
—
BO361954
BCBS OF MA
MA
Enumeration date
09/26/2005
Last updated
10/22/2008
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