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Organization

BOSTON BRACE INTERNATIONAL INC.

Active
Other names
OP Specialty Bracing
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS H. MORRISSEY (PRESIDENT & CEO)
(508) 588-6060
Entity
Organization

Contact information

Practice address
3550 MARKET ST, PHILADELPHIA, PA 19104-3369
(215) 634-9399
(267) 787-5624
Mailing address
37 SHUMAN AVE, STOUGHTON, MA 02072-3734
(508) 588-6060
(508) 559-2750

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006759
AETNA HMO
01
203318
BLUE CROSS KHPE
05
3537901
NJ
01
4532848
AETNA NON HMO
01
60008DM
KEYSTONE MERCY
05
6321880002
PA
Enumeration date
05/03/2006
Last updated
03/03/2025
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