Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL R CLARK, ORTHOTIST
Active Sole ProprietorPAUL R CLARK, ORTHOTIST is a Customized Equipment (DME) healthcare provider located in BROOKLINE, Massachusetts. NPI 1285714907 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · BROOKLINE, MA
Registration Details
- NPI Number
- 1285714907
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.833157065464 yrs)
- Last Updated
- Jul 9, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 POND AVESUITE 107BBROOKLINE, MA, 024457163Browse MA providers · Browse ZIP 02445
- Phone
- 7812546437
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.