MEDICARE: IAM ORTHOTICS & PROSTHETICS, 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
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982770087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IAM ORTHOTICS & PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	400 WEST CUMMINGS PARK
Second Line	:	SUITE 4950
City	:	WOBURN
State	:	MA
Zip	:	01801
Country	:	US
Telephone Number	:	781-239-3331
Fax Number	:	781-239-3351

Provider Business Practice Location Address
First Line	:	400 W CUMMINGS PARK
Second Line	:	SUITE 4950
City	:	WOBURN
State	:	MA
Zip	:	01801-6519
Country	:	US
Telephone Number	:	781-239-3331
Fax Number	:	781-239-3351

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT C. DRILLIO
Credential	:	C.O.
Telephone Number	:	781-239-3331

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	04/23/2009

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Directions to “IAM ORTHOTICS & PROSTHETICS, INC. ” Practice Location

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