Organization
BOND SHOE & FOOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER P. BOZOVIC PEDORTHIST (GENERAL MANAGER)
(781) 933-0602
Entity
Organization
Contact information
Practice address
100 MAPLE ST, STONEHAM, MA 02180-3143
(781) 933-0602
(781) 497-2926
Mailing address
100 MAPLE ST, STONEHAM, MA 02180-3143
(781) 933-0602
(781) 497-2926
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453054
BCBS
MA
01
—
831762
TUFTS HEALTH PLAN
MA
01
—
AA105197
HPHC
MA
Enumeration date
03/02/2007
Last updated
01/28/2008
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