Organization
SHORES MEDICAL COMPRESSION AND ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD M SHORES BOCO (MANAGER)
(978) 922-1700
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR, SUITE 106D, BEVERLY, MA 01915-6115
(978) 922-1700
(978) 922-7662
Mailing address
100 CUMMINGS CTR, SUITE 106D, BEVERLY, MA 01915-6115
(978) 922-1700
(978) 922-7662
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C36247
MA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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