Organization
PRECISION ORTHOTIC & PROSTHETIC TECHNOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW E HEBERT CPO CFO (PRESIDENT)
(508) 991-5577
Entity
Organization
Contact information
Practice address
300 HANOVER ST, SUITE 1G, FALL RIVER, MA 02720-5444
(508) 991-5577
(508) 991-5505
Mailing address
300 HANOVER ST, SUITE 1G, FALL RIVER, MA 02720-5444
(508) 991-5577
(508) 991-5505
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000029723
BMC HEALTHNET
MA
05
—
1528271
—
MA
01
—
400554
BLUE CROSS BLUE SHIELD
MA
01
—
642391
TUFTS
MA
01
—
AA33007
HARVARD PILGRIM
MA
01
—
OWCP
610047000
MA
Enumeration date
11/18/2009
Last updated
11/18/2009
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