Organization
SHOE AND FOOT INC
Active
Organization
SHOE AND FOOT INC
Active
Other names
Bond Shoes and Pedorthics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER BOZOVIC (PRESIDENT)
(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
05
—
1538837
—
MA
01
—
281754
BLUE CROSS BLUE SHIELD
MA
01
—
702226
HARVARD PILGRIM HC
MA
01
—
800466
TUFTS
MA
Enumeration date
05/01/2006
Last updated
08/22/2020
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