NPI 1851577795

Paul R Clark

Organisation Customized Equipment (DME) Allston, MA

Practice location

Address: 1 Braintree St, Allston, MA 02134-1602
Phone: (617) 787-0504
Fax: (781) 356-2074
Mailing address: P O Box 850164, Braintree, MA 02185

Authorised official

Name: Paul R. Clark
Title: Orthotist
Phone: (617) 787-0504

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X

Other Durable Medical Equipment & Medical Supplies providers in Massachusetts →

Registry record

NPI: 1851577795
Entity type: Organization
NPI issued: 10 Jan 2008
Record last updated: 29 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.