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NPI Code Detail

MEDICARE: BOSTON BRACE INTERNATIONAL INC.

MEDICARE: BOSTON BRACE INTERNATIONAL INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
228950OTHERUNIVERSITY HEALTH PLAN
38432848OTHERAETNA NON HMO
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5A382634OTHEROXFORD
60124892OTHERAETNA HMO

General Provider Information

NPI Number : 1780642256
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOSTON BRACE INTERNATIONAL INC.
Provider Business Mailing Address
First Line : 37 SHUMAN AVE
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-3734
Country : US
Telephone Number : 800-262-2235
Fax Number : 508-559-2750
Provider Business Practice Location Address
First Line : 645 STATE ROUTE 18
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-3760
Country : US
Telephone Number : 732-651-1223
Fax Number : 732-651-0946
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. THOMAS H. MORRISSEY
Credential :
Telephone Number : 508-588-6060
Provider Enumeration Date : 05/03/2006
Last Update Date : 03/27/2025

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Directions to “BOSTON BRACE INTERNATIONAL INC. ” Practice Location

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