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Paul R Clark, ORTHOTIST
Customized Equipment (DME) in Brookline, Massachusetts
NPI 1285714907

Paul R Clark is a Customized Equipment (DME) based in Braintree, MA and is specialized in Customized Equipment. Paul R Clark practices in Brookline, MA and has the professional credentials of ORTHOTIST. The NPI Number for Paul R Clark is 1285714907 and holds a License No. (Massachusetts).

The current practice location address for Paul R Clark is 33 Pond Ave, Brookline, MA and can be reached out via phone at 781-254-6437. You can also correspond with Paul R Clark through the mailing address at PO BOX 850164, BRAINTREE, MA - 02185-0164 (mailing address contact number: 781-254-6437).

Location: 33 Pond Ave, Brookline, MA, 02185-0164
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Provider Profile Details
NPI Number
1285714907
Provider Name
Paul R Clark
Credential
ORTHOTIST
Provider Entity Type
Individual
Gender
Male
Address
33 Pond Ave, Brookline, MA, 02185-0164
Phone Number
781-254-6437
Fax Number
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1537369 05 MA
375354 01 MA DME
institution
Provider Business Practice Location Address Details
Address
33 Pond Ave
City
State
Zip
02445-7163
Phone Number
781-254-6437
Fax Number
person
Provider Business Mailing Address Details
Address
33 Pond Ave
City
State
Zip
02445-7163
Phone Number
781-254-6437
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
(Massachusetts)
Definition
Definition to come...
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