institution
Paul R Clark
Customized Equipment (DME) in Allston, Massachusetts
NPI 1851577795

Paul R Clark is a Customized Equipment (DME) based in Braintree, MA and is specialized in Customized Equipment. Paul R Clark practices in Allston, MA. The NPI Number for Paul R Clark is 1851577795 and holds a License No. (Massachusetts).

The current practice location address for Paul R Clark is 1 Braintree St, Allston, MA and can be reached out via phone at 617-787-0504 and via fax at 781-356-2074.

Location: 1 Braintree St, Allston, MA, 02185
institution
Provider Profile Details
NPI Number
1851577795
Provider Name
Paul R Clark
Credential
Provider Entity Type
Organization
Address
1 Braintree St, Allston, MA, 02185
Phone Number
617-787-0504
Fax Number
781-356-2074
Provider Enumeration Date
01/10/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
670375 01 MA TUFT'S NAVIGATOR
670375 01 MA TUFT'S HEALTH INSURANCE
1537369 05 MA
375354 01 MA BLUE CROSS/BLUE SHIELD OF MASSACHUSETTS
670375 01 MA TUFT'S TOTAL HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
1 Braintree St
City
State
Zip
02134-1602
Phone Number
617-787-0504
Fax Number
781-356-2074
person
Provider Business Mailing Address Details
Address
1 Braintree St
City
State
Zip
02134-1602
Phone Number
617-787-0504
Fax Number
781-356-2074
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
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Definition
Definition to come...
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