Healthcare Provider Details

I. General information

NPI: 1265428122
Provider Name (Legal Business Name): BOSTON ARTIFICIAL LIMB COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MIDDLESEX TPKE
BURLINGTON MA
01803-4912
US

IV. Provider business mailing address

44 MIDDLESEX TPKE
BURLINGTON MA
01803-4912
US

V. Phone/Fax

Practice location:
  • Phone: 781-272-3132
  • Fax: 781-272-5605
Mailing address:
  • Phone: 781-272-3132
  • Fax: 781-272-5605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM L ROGERS
Title or Position: PRESIDENT
Credential: C.P.
Phone: 781-272-3132