Organization
FDR CENTER FOR PROSTHETICS & ORTHOTICS, INC.
Active
Other names
Northeastern Prosthetic & Brace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HARNEY (PRESIDENT)
(603) 595-9255
Entity
Organization
Contact information
Practice address
8 RAY AVE, BURLINGTON, MA 01803-4721
(781) 273-5462
(781) 273-5468
Mailing address
8 RAY AVE, BURLINGTON, MA 01803-4721
(781) 273-5462
(781) 273-5468
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511068
—
MA
01
—
398654
BC/BS MA
MA
01
—
661968
TUFTS
MA
Enumeration date
08/30/2006
Last updated
12/10/2008
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