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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