Paul R Clark
NPI #1851577795 in Allston, Massachusetts
Provider Information
- NPI Number
- 1851577795
- Entity Type
- Organization
- Organization Name
- Paul R Clark
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Jan 10, 2008
- Last Updated
- Oct 29, 2010
Practice Location
- Address
- 1 BRAINTREE ST
- City
- Allston
- State
- Massachusetts
- ZIP Code
- 02134-1602
- Phone
- (617) 787-0504
Authorized Official
- Name
- MR. PAUL R. CLARK
- Title
- ORTHOTIST
- Phone
- (617) 787-0504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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